18.29C

Base Rate – $107.50
Name – Stellate ganglion block

Category – M+ Designated Minor Procedure

Fee Modifiers

Type Code # of calls Explicit Action Amount
SURC
SURC
SURC
SURC
LVP
EV
NTAM
NTPM
WK
LVP75
 
  
  
  
 
Yes 
 Yes 
 Yes 
 Yes 
 Yes
Increase By
Increase By
Increase By
Increase By
Reduce Base To
$48.70
$116.83
$116.83
$48.70
75%

II – Operations On The Nervous System

/ 18 Operations On Sympathetic Nerves Or Ganglia

// 18.2 Injection into sympathetic nerve or ganglion

/// 18.29 Other injection into sympathetic nerve or ganglion

//// 18.29C


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