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Texas 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
$1,540.00 / $1,540.00 / $1,540.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$118.30 / $129.15 / $129.15
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$520.00 / $1,040.00 / $1,208.16
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$160.40 / $520.00 / $1,120.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$244.20 / $244.20 / $244.20