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Wisconsin rates for HCPCS 00170

Anesthesia for intraoral procedures, including biopsy; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$676.08 / $1,047.13 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$537.03 / $870.96 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$691.83 / $691.83 / $794.33