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Wisconsin rates for HCPCS 00630

Anesthesia for procedures in lumbar region; not otherwise specified

Facilitymedian $851 · 10th–90th $31–$8510%50%10th$851Professionalmedian $1,660 · 10th–90th $676–$2,8180%10%10th90th$1,660$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$676.08 / $1,659.59 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$977.24 / $1,905.46 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,202.26
Security Health
Facility/Professional
Professional
Modifier
AD
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47