go back

Tennessee rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $420.00 / $420.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$172.21 / $840.00 / $1,661.88
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$316.51 / $514.99 / $745.67
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$103.50 / $538.46 / $931.39
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$88.50 / $401.29 / $531.17
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$145.78 / $340.80 / $728.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$174.24 / $254.78 / $910.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$67.76 / $158.72 / $204.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$70.20 / $113.16 / $245.00
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$58.08 / $136.04 / $585.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$135.52 / $226.91 / $459.00
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 / $180.00 / $360.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,445.60 / $1,445.60 / $1,445.60
United
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$80.00 / $80.00 / $85.00