go back

Nebraska 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
$831.76 / $1,023.29 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$537.03 / $676.08 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$190.55 / $190.55 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$89.13 / $234.42 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$416.87 / $416.87 / $524.81