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Missouri rates for HCPCS 01942

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,120.00 / $1,540.00 / $1,540.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$228.94 / $228.94 / $424.58
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$327.68 / $450.00 / $450.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$510.00 / $510.00 / $510.00
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
$469.20 / $469.20 / $586.50