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Illinois rates for HCPCS 00630

Anesthesia Lumbar Region Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$150.66 / $150.66 / $150.66
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$601.03 / $667.81 / $926.35
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$843.88 / $1,144.34 / $1,487.80
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$882.92 / $940.57 / $2,295.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$290.55 / $603.05 / $1,368.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$425.25 / $461.01 / $463.45