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Oklahoma rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $315.00 / $360.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$248.00 / $316.00 / $364.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$140.00 / $146.00 / $190.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$190.00 / $190.00 / $190.00
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$128.00 / $150.00 / $160.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$588.00 / $840.00 / $995.40
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$118.20 / $137.90 / $160.40
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$59.10 / $98.50 / $98.50
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$58.17 / $88.65 / $292.50
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$137.90 / $157.60 / $390.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $82.00