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Illinois rates for HCPCS 01942

Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$592.79 / $592.79 / $592.79
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$632.91 / $765.00 / $1,188.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$1,147.50 / $1,147.50 / $1,147.50
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$235.98 / $271.18 / $503.62
United
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$75.00 / $75.00 / $75.00