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Utah 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
$56.23 / $616.60 / $616.60
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$199.53 / $199.53 / $323.59
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$398.11 / $691.83 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$251.19 / $354.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$251.19 / $363.08 / $537.03
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$257.04 / $316.23 / $426.58
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$331.13 / $549.54 / $724.44