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Maine 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
$77.62 / $1,698.24 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$1,412.54 / $1,659.59 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$77.62 / $1,698.24 / $2,511.89
Martin's Point
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$245.47 / $1,412.54 / $1,905.46
Martin's Point
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $79.43 / $269.15