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South Carolina rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $37.50 / $445.60
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$505.92 / $505.92 / $505.92
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$243.10 / $512.72 / $654.50
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$157.08 / $422.24 / $742.56
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$147.53 / $665.20 / $945.95
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$125.55 / $480.25 / $734.93
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$97.50 / $502.08 / $916.84
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$91.50 / $396.97 / $531.17
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$244.80 / $340.80 / $650.72
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$127.58 / $138.46 / $247.84
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$85.05 / $142.41 / $473.48
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$70.20 / $141.43 / $427.50
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$59.34 / $116.95 / $424.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$118.68 / $148.84 / $408.00
BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$175.00 / $292.50 / $425.90
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$49.45 / $87.50 / $189.05
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$140.00 / $200.00 / $302.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $1,950.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$80.00 / $80.00 / $157.50