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Pennsylvania 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
$524.14 / $980.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$630.23 / $630.23 / $630.23
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$548.73 / $663.07 / $1,100.48
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$450.90 / $595.41 / $818.69
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$524.14 / $1,134.00 / $1,960.00
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$630.23 / $630.23 / $630.23