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Arizona rates for HCPCS 01991

Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$436.52 / $1,174.90 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$269.15 / $398.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$269.15 / $389.05 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $79.43 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$79.43 / $380.19 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$194.98 / $194.98 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.23 / $120.23 / $281.84
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.81 / $39.81 / $52.48
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.81 / $39.81 / $52.48
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.81 / $39.81 / $52.48