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Missouri 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
$234.42 / $489.78 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$269.15 / $380.19 / $537.03
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$269.15 / $316.23 / $389.05
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $269.15 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$125.89 / $125.89 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$50.12 / $50.12 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$257.04 / $269.15 / $309.03
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
$295.12 / $295.12 / $354.81