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North Carolina rates for HCPCS 00103

Anesthesia Eyelid Reconstructive Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$673.96 / $673.96 / $673.96
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$630.69 / $1,353.40 / $1,616.90
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$740.00 / $740.00 / $740.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$157.04 / $157.04 / $157.04
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50