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Indiana rates for HCPCS 00170

Anesthesia for intraoral procedures, including biopsy; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$489.78 / $758.58 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$363.08 / $512.86 / $1,202.26
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$158.49 / $245.47 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$245.47 / $436.52 / $1,047.13