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Indiana rates for HCPCS 00630

Anesthesia Lumbar Region Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$843.88 / $1,144.34 / $1,287.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$833.19 / $901.41 / $959.70
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$290.55 / $697.32 / $1,273.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$461.01 / $707.97 / $1,375.00