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New Hampshire 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
$32.36 / $537.03 / $1,000.00
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$776.25 / $776.25 / $851.14
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$338.84 / $676.08 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$208.93 / $380.19 / $758.58
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$223.87 / $363.08 / $758.58
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$208.93 / $407.38 / $741.31
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$398.11 / $707.95 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$186.21 / $338.84 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$58.88 / $112.20 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$89.13 / $120.23 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$57.54 / $194.98 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$117.49 / $204.17 / $1,071.52