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Michigan 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 / $933.25 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$269.15 / $436.52 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$269.15 / $501.19 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $79.43 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$52.48 / $52.48 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$81.28 / $100.00 / $102.33
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$51.29 / $114.82 / $151.36
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$97.72 / $218.78 / $288.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$234.42 / $851.14 / $1,949.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$269.15 / $446.68 / $1,412.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$389.05 / $501.19 / $1,202.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $79.43 / $269.15