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Nationwide rates for HCPCS 01250

Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg

Facilitymedian $550 · 10th–90th $40–$8320%20%40%10th90th$550Professionalmedian $851 · 10th–90th $646–$1,7780%20%10th90th$851$5.0$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$549.54 / $549.54 / $724.44
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$588.84 / $794.33 / $831.76
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$645.65 / $851.14 / $1,778.28
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
United
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74

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