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North Carolina rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $720.00 / $976.00
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$243.10 / $243.10 / $3,079.37
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,143.30 / $1,473.17 / $2,196.50
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$147.59 / $832.40 / $1,024.03
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$389.67 / $682.69 / $1,012.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$331.75 / $331.75 / $331.75
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,110.00 / $1,110.00 / $2,220.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$202.00 / $538.20 / $663.83
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$242.50 / $325.00 / $637.50
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$533.50 / $776.00 / $1,420.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,950.00 / $3,990.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50