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West Virginia 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
$676.08 / $724.44 / $891.25
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$630.96 / $630.96 / $676.08
Cigna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$524.81 / $537.03 / $562.34