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Wisconsin rates for HCPCS 00630

Anesthesia Lumbar Region Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$854.10 / $854.10 / $854.10
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,520.82 / $2,240.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$930.00 / $1,909.20 / $1,909.20
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,047.22 / $1,047.22 / $1,190.03