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Missouri rates for HCPCS 00170

Anesthesia Intraoral With Biopsy Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$522.89 / $833.52 / $1,680.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$388.60 / $523.83 / $793.20
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$290.80 / $450.00 / $700.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$155.12 / $254.90 / $585.00
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$469.20 / $586.50 / $645.15