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Illinois rates for HCPCS 00170

Anesthesia Intraoral With Biopsy Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$287.67 / $409.36 / $817.40
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$543.15 / $793.10 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$398.85 / $553.63 / $1,292.15
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$145.11 / $288.42 / $576.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$118.86 / $254.90 / $347.59