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Anesthesia for a Scan or Radiation Treatment

Michigan rates for HCPCS 01922

Anesthesia care given so a patient can stay completely still and comfortable through a scan or a session of radiation treatment. It is used mainly for young children and for people who cannot lie still or cannot tolerate being enclosed in a scanner. The anesthesia team watches breathing and circulation throughout and stays with the patient until they are awake.

Facilitymedian $417 · 10th–90th $398$5620%50%10th90th$417Professionalmedian $617 · 10th–90th $389$1,4130%10%10th90th$617$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$562.34
Aetna
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$812.83
Median
$1,348.96
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$346.74
Median
$562.34
Typical High
$851.14
Aetna
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$371.54
Median
$549.54
Typical High
$831.76
Aetna
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$954.99
Median
$2,187.76
Typical High
$3,090.30
Ambetter
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$213.80
Median
$213.80
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$107.15
Median
$123.03
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$10.00
Median
$123.03
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
BCBS
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$120.23
Median
$269.15
Typical High
$354.81
BCBS
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$223.87
Median
$501.19
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$794.33
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Health Alliance Plan
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$812.83
Median
$1,318.26
Typical High
$2,041.74
Health Alliance Plan
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$354.81
Median
$588.84
Typical High
$870.96
Health Alliance Plan
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$346.74
Median
$562.34
Typical High
$831.76
Health Alliance Plan
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$954.99
Median
$954.99
Typical High
$1,412.54
United
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$245.47
Median
$245.47
Typical High
$245.47