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Vermont rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,230.27 / $1,778.28 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$109.65 / $537.03 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$371.54 / $489.78 / $3,388.44