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Wisconsin rates for HCPCS 00170

Anesthesia Intraoral With Biopsy Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$97.18 / $97.18 / $97.18
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$810.30 / $1,221.15 / $1,768.14
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$674.41 / $954.60 / $1,453.50
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$698.15 / $698.15 / $793.35