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New Hampshire 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
$295.12 / $338.84 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$141.25 / $141.25 / $141.25