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Texas 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
$41.69 / $50.12 / $363.08
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$446.68 / $870.96 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$194.98 / $371.54 / $645.65
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$223.87 / $380.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$229.09 / $346.74 / $562.34
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$223.87 / $501.19 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $389.05 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$70.79 / $229.09 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$70.79 / $141.25 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$67.61 / $281.84 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.23 / $190.55 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $79.43 / $120.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$52.48 / $52.48 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$52.48 / $52.48 / $52.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $2,238.72 / $6,165.95
Moda Health
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$380.19 / $794.33 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$173.78 / $363.08 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$204.17 / $380.19 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$190.55 / $346.74 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $426.58 / $707.95
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,951.21 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $2,630.27 / $5,888.44
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90