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Montana rates for HCPCS 01938

Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$108.07 / $108.07 / $700.00
Providence
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$162.50 / $181.00 / $206.30
Providence
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$162.50 / $181.00 / $206.30