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Michigan rates for HCPCS 00103

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$630.69 / $630.69 / $755.30
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$306.55 / $306.55 / $306.55
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$184.90 / $406.06 / $480.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$630.69 / $630.69 / $755.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$306.55 / $306.55 / $306.55