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Massachusetts rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.50 / $32.50 / $32.50
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$260.00 / $668.14 / $2,306.88
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$221.00 / $500.90 / $873.14
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$291.58 / $630.82 / $1,675.88
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$268.13 / $616.40 / $781.20
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$676.31 / $676.31 / $747.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $82.00 / $818.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $180.00 / $180.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $323.82 / $490.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Mass General Brigham
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Mass General Brigham
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Mass General Brigham
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$365.00 / $365.00 / $365.00