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Pennsylvania 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
$239.88 / $426.58 / $954.99
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$208.93 / $245.47 / $831.76
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$645.65 / $645.65 / $851.14
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$194.98 / $831.76 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$114.82 / $338.84 / $602.56
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$134.90 / $338.84 / $602.56
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$229.09 / $331.13 / $602.56
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$363.08 / $602.56 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$144.54 / $257.04 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$60.26 / $109.65 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$52.48 / $123.03 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$61.66 / $123.03 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$123.03 / $181.97 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Geisinger
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$141.25 / $316.23 / $467.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Highmark BCBS
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$61.66 / $61.66 / $61.66
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$380.19 / $501.19 / $1,000.00
Highmark BCBS
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$398.11 / $524.81 / $776.25
Highmark BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$416.87 / $512.86 / $724.44
Highmark BCBS
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$398.11 / $524.81 / $851.14
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$323.59 / $407.38 / $501.19
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $389.05 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$83.18 / $83.18 / $83.18
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$208.93 / $245.47 / $831.76
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$87.10 / $87.10 / $87.10
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$645.65 / $645.65 / $851.14
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$229.09 / $851.14 / $1,698.24
Martin's Point
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$114.82 / $338.84 / $645.65
Martin's Point
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$125.89 / $346.74 / $660.69
Martin's Point
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$223.87 / $338.84 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$288.40 / $602.56 / $1,445.44
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,479.11 / $2,238.72