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Texas 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
$51.29 / $758.58 / $1,778.28
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$457.09 / $741.31 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$52.48 / $52.48 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$501.19 / $758.58 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90