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Indiana rates for HCPCS 00103

Anesthesia Eyelid Reconstructive Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$585.00 / $585.00 / $717.60
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$231.86 / $621.00 / $750.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$135.59 / $213.07 / $750.00