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Illinois 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
$454.91 / $600.00 / $610.60
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$212.40 / $266.60 / $559.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$412.26 / $412.26 / $469.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$102.20 / $102.20 / $124.38