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South Carolina rates for HCPCS 00103

Anesthesia Eyelid Reconstructive Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,400.00 / $1,680.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$590.40 / $590.40 / $590.40
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$197.80 / $197.80 / $197.80
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$157.04 / $257.14 / $459.00
BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$175.00 / $292.50 / $425.90
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$140.00 / $200.00 / $302.50