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Nebraska 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
$1,820.00 / $1,820.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$542.65 / $664.94 / $859.51
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$191.20 / $191.20 / $191.20
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$152.96 / $628.88 / $864.71
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$411.42 / $411.42 / $514.28