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Texas 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 / $602.56 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$245.47 / $363.08 / $537.03
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$269.15 / $389.05 / $446.68
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $100.00 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$79.43 / $79.43 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$50.12 / $50.12 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$97.72 / $257.04 / $323.59
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$52.48 / $52.48 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$234.42 / $724.44 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.53 / $269.15 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$281.84 / $398.11 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $100.00 / $269.15
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90