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Louisiana 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
$47.86 / $309.03 / $851.14
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$186.21 / $512.86 / $977.24
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$95.50 / $309.03 / $501.19
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$97.72 / $302.00 / $537.03
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$190.55 / $309.03 / $416.87
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$123.03 / $416.87 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$138.04 / $162.18 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$69.18 / $81.28 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$67.61 / $81.28 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$67.61 / $72.44 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.23 / $144.54 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $120.23