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Nationwide rates for HCPCS 01630

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$2,290.87 / $2,290.87 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$691.83 / $691.83 / $891.25
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$676.08 / $1,548.82 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$954.99 / $1,000.00 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90