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Pennsylvania rates for HCPCS 00126

Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$263.03 / $263.03 / $316.23
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$95.50 / $95.50 / $95.50
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
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$112.20 / $112.20 / $112.20
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$263.03 / $263.03 / $316.23
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$95.50 / $95.50 / $95.50