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Pennsylvania rates for HCPCS 01250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$753.92 / $753.92 / $753.92
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$426.26 / $558.00 / $737.50
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$753.92 / $753.92 / $753.92