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Missouri 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
$866.02 / $866.02 / $866.02
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$531.20 / $531.20 / $531.20
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$111.43 / $111.43 / $111.43
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$210.87 / $210.87 / $306.00
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$159.47 / $159.47 / $351.90