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Missouri rates for HCPCS 00902

Anesthesia Anorectal Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$2,152.19 / $2,152.19 / $2,152.19
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$462.80 / $1,120.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$516.20 / $645.42 / $753.54
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$168.76 / $350.00 / $450.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$162.21 / $190.18 / $510.00
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$351.90 / $527.85 / $586.50