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Tennessee rates for HCPCS 00103

Anesthesia Eyelid Reconstructive Procedure

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
$523.83 / $590.40 / $590.40
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$175.59 / $175.59 / $175.59
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$143.44 / $193.60 / $459.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50