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Louisiana rates for HCPCS 00170

Anesthesia Intraoral With Biopsy Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$980.00 / $1,400.00 / $1,960.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$332.80 / $421.20 / $598.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$140.41 / $140.41 / $140.41
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$179.01 / $198.90 / $510.00