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Indiana 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
$239.88 / $954.99 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$562.34 / $933.25 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$234.42 / $234.42 / $234.42