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Wisconsin 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
$436.52 / $851.14 / $1,348.96
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
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$72.44 / $269.15 / $602.56
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$467.74 / $467.74 / $524.81