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Oklahoma 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
$489.78 / $1,202.26 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$218.78 / $933.25 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$173.78 / $173.78 / $223.87