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Missouri rates for HCPCS 01160

Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,680.00 / $1,680.00 / $1,680.00
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
$586.50 / $586.50 / $586.50