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Arizona rates for HCPCS 00103

Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$724.44 / $1,318.26 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$831.76 / $831.76 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.81 / $39.81 / $52.48
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.81 / $39.81 / $52.48
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.81 / $39.81 / $52.48