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Missouri rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.79 / $390.00 / $534.05
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$240.00 / $669.94 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$179.20 / $241.65 / $416.76
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$182.40 / $245.89 / $408.50
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$183.87 / $249.19 / $367.65
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$329.75 / $577.58 / $781.96
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$152.54 / $350.00 / $400.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$65.37 / $98.95 / $204.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$67.87 / $126.46 / $260.00
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$60.27 / $118.97 / $270.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$127.98 / $190.18 / $455.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $2,615.98 / $3,041.64
Medica
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Medica
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Qualchoice
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$234.60 / $234.60 / $234.60
Qualchoice
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$234.60 / $234.60 / $234.60
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$136.69 / $351.90 / $469.20