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Michigan rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $315.00 / $415.32
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$498.00 / $723.36 / $1,108.80
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$224.25 / $369.60 / $522.34
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$187.00 / $311.85 / $490.05
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$171.67 / $323.39 / $393.19
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$279.30 / $355.60 / $432.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.75 / $221.21 / $430.72
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$60.75 / $85.08 / $138.53
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$63.81 / $85.08 / $119.64
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$70.20 / $75.93 / $91.13
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$121.50 / $162.00 / $243.00
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$97.90 / $214.97 / $254.25
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$184.90 / $406.06 / $480.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.62 / $593.88 / $593.88
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $566.60
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $566.60
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $180.00 / $566.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.00 / $312.00 / $415.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$566.10 / $813.78 / $1,108.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$250.25 / $353.87 / $522.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$178.50 / $340.95 / $503.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$199.26 / $330.33 / $397.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$279.30 / $355.60 / $504.00
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,445.60 / $1,445.60 / $1,445.60
United
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$189.00 / $189.00 / $189.00