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Utah 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
$524.81 / $616.60 / $977.24
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 / $269.15 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$114.82 / $141.25 / $177.83
Regence BlueShield
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$114.82 / $141.25 / $177.83