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Anesthesia for Manipulation of the Spine

Missouri rates for HCPCS 00640

Anesthesia care for treatment of the neck or back carried out without any cutting, in which the spine is moved, stretched or manipulated into position while the patient is fully relaxed under anesthetic. Relaxing the muscles completely is what makes the manipulation possible, and the anesthesia team monitors breathing and circulation throughout. The practitioner carrying out the manipulation charges separately.

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $40$400%50%100%$40

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
Medica
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Medica
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Medica
Setting
Facility
Modifier
QY · Directing one CRNA
Typical Low
$39.81
Median
$39.81
Typical High
$39.81