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Washington 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
$398.11 / $1,230.27 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$251.19 / $1,698.24 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$478.63 / $478.63 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$173.78 / $173.78 / $173.78