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North Carolina rates for HCPCS 00630

Anesthesia for procedures in lumbar region; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$2,122.44 / $4,472.18 / $4,472.18
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$2,466.19 / $2,466.19 / $2,466.19
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,998.00 / $1,998.00 / $1,998.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$1,040.00 / $1,040.00 / $1,040.00
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50