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Idaho 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
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$338.84 / $380.19 / $524.81
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$354.81 / $407.38 / $467.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $380.19 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$338.84 / $380.19 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$112.20 / $218.78 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$95.50 / $257.04 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$208.93 / $208.93 / $218.78
Moda Health
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.74 / $407.38 / $467.74