| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | QX | $58.11 | $58.11 | $58.11 |
Ambetter
| Professional | QZ | $96.85 | $96.85 | $133.65 |
Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | QX | $58.11 | $58.11 | $58.11 |
Ambetter
| Professional | QZ | $96.85 | $96.85 | $133.65 |