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Missouri rates for HCPCS 01916

Anesthesia for diagnostic arteriography/venography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$806.60 / $896.32 / $1,896.99
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$824.93 / $824.93 / $824.93
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$824.93 / $824.93 / $824.93
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$907.90 / $907.90 / $907.90
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$800.00 / $800.00 / $800.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$198.28 / $220.00 / $280.50
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$245.90 / $245.90 / $245.90
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$184.68 / $301.24 / $579.30
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$469.20 / $469.20 / $469.20