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Missouri rates for HCPCS 00630

Anesthesia Lumbar Region Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,820.00 / $2,520.00 / $2,940.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$760.93 / $987.01 / $1,380.73
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$608.04 / $850.00 / $900.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$332.81 / $463.45 / $1,173.00
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$464.74 / $879.75 / $1,348.95