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Arizona rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$497.51 / $1,400.00 / $2,210.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$763.13 / $1,179.38 / $1,595.63
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$750.00 / $1,050.00 / $1,669.50
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$720.00 / $1,430.00 / $2,080.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$150.44 / $150.44 / $150.44
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$102.20 / $370.50 / $370.50
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$630.00 / $700.00 / $1,300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $104.00 / $3,395.00
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $52.00
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $52.00
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $52.00