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Montana rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.84 / $111.84 / $111.84
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$39.18 / $554.40 / $1,661.88
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$956.94 / $956.94 / $956.94
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$126.13 / $383.50 / $717.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$195.00 / $217.20 / $247.56
Providence
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$195.00 / $217.20 / $247.56
Providence
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$195.00 / $217.20 / $247.56
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$75.00 / $75.00 / $75.00