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Illinois rates for HCPCS 00103

Anesthesia Eyelid Reconstructive Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$604.52 / $604.52 / $760.28
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$397.70 / $1,400.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$306.55 / $306.55 / $306.55
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$231.86 / $231.86 / $897.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$135.59 / $213.07 / $213.07