go back

Montana rates for HCPCS 00731

Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$138.04 / $691.83 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$77.62 / $478.63 / $741.31
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$79.43 / $524.81 / $724.44
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$74.13 / $478.63 / $588.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$158.49 / $426.58 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $3,311.31