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Ohio 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
$134.90 / $676.08 / $1,230.27
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$436.52 / $436.52 / $891.25
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$467.74 / $812.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$181.97 / $338.84 / $549.54
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$204.17 / $338.84 / $575.44
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$239.88 / $316.23 / $501.19
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$281.84 / $549.54 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$138.04 / $162.18 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$60.26 / $72.44 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$57.54 / $81.28 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$57.54 / $72.44 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$117.49 / $147.91 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$309.03 / $309.03 / $309.03
Aultcare
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$288.40 / $389.05 / $549.54
Aultcare
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$128.82 / $181.97 / $223.87
Aultcare
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$169.82 / $204.17 / $234.42
Aultcare
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$218.78 / $223.87 / $245.47
Aultcare
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$302.00 / $323.59 / $446.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $77.62 / $213.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $213.80 / $977.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$22.39 / $70.79 / $331.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$53.70 / $109.65 / $331.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$53.70 / $89.13 / $331.13
SummaCare
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$112.20 / $162.18 / $169.82
SummaCare
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$125.89 / $162.18 / $190.55
SummaCare
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$138.04 / $162.18 / $208.93