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Pennsylvania 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 / $3,500.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$431.95 / $431.95 / $431.95
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$360.90 / $360.90 / $360.90
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$859.29 / $1,230.80 / $2,271.21
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$663.07 / $981.07 / $1,542.65
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,201.24 / $1,960.00 / $2,940.00