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California rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $330.00 / $1,146.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$497.70 / $1,005.10 / $1,540.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$390.75 / $563.25 / $865.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$419.15 / $623.63 / $860.45
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$334.88 / $592.04 / $1,206.96
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$142.76 / $329.75 / $364.46
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$234.47 / $585.00 / $1,170.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$112.34 / $458.15 / $688.50
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$109.53 / $658.00 / $846.00
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$61.44 / $367.50 / $780.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$142.10 / $273.00 / $490.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $148.43 / $348.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.20 / $300.00 / $505.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.40 / $3,375.00 / $4,100.00
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$174.00 / $217.20 / $247.56
Providence
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$174.00 / $217.20 / $247.56
Providence
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$174.00 / $217.20 / $247.56
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$365.00 / $582.00 / $1,445.60
United
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$85.00 / $85.00 / $85.00