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Pennsylvania rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $392.11 / $955.26
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$83.36 / $83.36 / $184.46
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$211.30 / $438.86 / $828.95
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$87.95 / $87.95 / $87.95
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$681.91 / $681.91 / $845.21
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$181.39 / $746.09 / $1,540.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$118.78 / $321.49 / $470.57
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$138.32 / $326.73 / $469.14
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$216.21 / $305.58 / $389.31
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$495.78 / $582.16 / $690.83
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$140.41 / $223.66 / $367.31
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$80.23 / $153.05 / $397.92
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$15.30 / $121.91 / $219.67
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$137.74 / $137.74 / $137.74
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.30 / $209.69 / $279.58
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $360.00 / $360.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
Highmark BCBS
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$61.92 / $61.92 / $61.92
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$391.02 / $549.64 / $1,022.48
Highmark BCBS
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$402.09 / $516.03 / $737.82
Highmark BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$415.17 / $507.73 / $721.94
Highmark BCBS
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$405.60 / $531.54 / $885.77
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$315.08 / $394.01 / $496.40
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.13 / $429.48 / $955.26
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$83.36 / $83.36 / $184.46
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$211.30 / $438.86 / $828.95
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$87.95 / $87.95 / $87.95
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$681.91 / $681.91 / $845.21
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$196.25 / $693.50 / $1,400.00
Martin's Point
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$119.17 / $313.20 / $465.16
Martin's Point
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$172.50 / $317.48 / $460.57
Martin's Point
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$216.03 / $300.54 / $389.31
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$483.56 / $580.29 / $689.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.53 / $1,470.41 / $1,914.66
Priority Health
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $180.00
Priority Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Priority Health
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $180.00 / $360.00
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$75.00 / $75.00 / $75.00
United
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$80.00 / $80.00 / $211.50
United
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$189.00 / $189.00 / $189.00