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Utah rates for HCPCS 00103

Anesthesia Eyelid Reconstructive Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$856.62 / $1,260.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$761.44 / $761.44 / $761.44