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Oklahoma 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
$39.81 / $239.88 / $363.08
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$275.42 / $870.96 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$269.15 / $457.09 / $724.44
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$263.03 / $457.09 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$275.42 / $371.54 / $602.56
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$134.90 / $354.81 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$117.49 / $138.04 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$58.88 / $81.28 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$70.79 / $91.20 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$363.08 / $363.08 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$125.89 / $158.49 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $41.69 / $85.11