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Wisconsin rates for HCPCS 01940

Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,228.07 / $1,228.07 / $1,228.07
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$300.72 / $305.33 / $311.44
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$1,432.75 / $1,432.75 / $1,432.75
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$581.79 / $581.79 / $661.13