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Indiana 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
$331.13 / $457.09 / $537.03
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$338.84 / $630.96 / $977.24
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$162.18 / $380.19 / $630.96
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$213.80 / $380.19 / $616.60
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$275.42 / $354.81 / $616.60
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$263.03 / $489.78 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $190.55 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$69.18 / $112.20 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$67.61 / $97.72 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$57.54 / $74.13 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.23 / $173.78 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $77.62 / $229.09