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Modifiers in anesthesia billing, such as -47 (anesthesia by the surgeon) or -AQ (anesthesia services performed by a non-physician), can significantly affect reimbursement rates from insurance companies. For instance, using modifier -47 may lead to the surgeon receiving a higher reimbursement rate, as it indicates that they provided anesthesia during a procedure. In contrast, modifier -AQ may result in lower reimbursement since it indicates that a non-physician anesthetist performed the service, which may be reimbursed at a different rate compared to physician services. Proper use of these modifiers is essential for accurate billing and maximizing reimbursement.

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