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Connecticut rates for HCPCS 01940

Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$660.69 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$302.00 / $380.19 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$331.13 / $416.87 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$537.03 / $537.03 / $537.03