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Vermont 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
$933.25 / $1,548.82 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.53 / $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