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Michigan 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
$302.00 / $309.03 / $436.52
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$512.86 / $851.14 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$173.78 / $389.05 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$154.88 / $380.19 / $691.83
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$239.88 / $363.08 / $691.83
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$281.84 / $537.03 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $186.21 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$70.79 / $85.11 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$52.48 / $81.28 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$61.66 / $81.28 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$123.03 / $181.97 / $323.59
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$190.55 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$363.08 / $407.38 / $407.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $588.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $309.03 / $416.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$501.19 / $831.76 / $1,412.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$190.55 / $380.19 / $724.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$169.82 / $389.05 / $707.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$213.80 / $380.19 / $691.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$281.84 / $512.86 / $933.25