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Virginia rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $288.00 / $518.10
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$429.00 / $429.00 / $429.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$151.15 / $511.20 / $561.15
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$227.66 / $305.33 / $436.01
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$226.80 / $289.04 / $427.46
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$262.60 / $292.25 / $556.44
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$352.89 / $539.83 / $669.21
Anthem BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$450.00 / $463.00 / $463.00
Anthem BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$450.00 / $463.00 / $463.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $426.00 / $540.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $2,460.00 / $3,184.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $64.00 / $92.88
United
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$75.00 / $75.00 / $75.00