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Missouri rates for HCPCS 01942

Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,122.02 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$128.82 / $812.83 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$251.19 / $251.19 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$199.53 / $275.42 / $407.38
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.81 / $39.81 / $39.81
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.81 / $39.81 / $39.81
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.81 / $39.81 / $39.81
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$467.74 / $467.74 / $467.74