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New Hampshire rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $562.34 / $724.44
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$794.33 / $1,047.13 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$323.59 / $524.81 / $676.08
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$380.19 / $524.81 / $794.33
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$173.78 / $1,412.54 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$933.25 / $933.25 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$169.82 / $169.82 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$154.88 / $181.97 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$199.53 / $199.53 / $199.53