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Illinois rates for HCPCS 00103

Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$602.56 / $602.56 / $758.58
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$575.44 / $1,318.26 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$524.81 / $660.69 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$457.09 / $457.09 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$234.42 / $234.42 / $234.42