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Montana rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$794.33 / $1,318.26 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$120.23 / $676.08 / $954.99
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$602.56 / $831.76 / $933.25
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$173.78 / $194.98 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $3,311.31