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North Carolina rates for HCPCS 01250

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

Facilitymedian $794 · 10th–90th $794–$7940%50%$794Professionalmedian $851 · 10th–90th $692–$1,2300%20%10th90th$851$100.0$200.0$500.0$1.0K$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
QX
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$691.83 / $851.14 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Wellcare
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Wellcare
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Wellcare
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48