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Indiana rates for HCPCS 00400

Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$335.50 / $478.98 / $756.60
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$168.22 / $396.68 / $460.26
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$151.09 / $272.11 / $720.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$116.22 / $325.42 / $605.00