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California rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$97.72 / $676.08 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$120.23 / $660.69 / $676.08
HealthNet
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$4.07 / $4.07 / $4.07
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$52.48 / $52.48 / $52.48