go back

South Dakota 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
$34.67 / $302.00 / $331.13
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$363.08 / $501.19 / $616.60
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$58.88 / $229.09 / $302.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$151.36 / $190.55 / $316.23
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$67.61 / $218.78 / $281.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.74 / $575.44 / $758.58
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$416.87 / $478.63 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $1,288.25 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$446.68 / $446.68 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.53 / $245.47 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.74 / $346.74 / $346.74