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Arizona rates for HCPCS 00731

Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $120.23 / $281.84
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$8.13 / $8.13 / $186.21
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$457.09 / $933.25 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$208.93 / $380.19 / $724.44
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$234.42 / $398.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$251.19 / $346.74 / $676.08
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$213.80 / $602.56 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $363.08 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$69.18 / $112.20 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$67.61 / $97.72 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$57.54 / $109.65 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $181.97 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $81.28 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.81 / $39.81 / $39.81
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.81 / $39.81 / $39.81
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.81 / $39.81 / $39.81