go back

North Dakota rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $44.67 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$676.08 / $933.25 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$331.13 / $407.38 / $575.44
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$331.13 / $489.78 / $724.44
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$660.69 / $954.99 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$524.81 / $660.69 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $44.67 / $2,691.53