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Wisconsin rates for HCPCS 00731

Anesthesia Upper Gi Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $491.89 / $666.00
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$97.18 / $97.18 / $278.85
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$767.27 / $969.92 / $969.92
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$622.20 / $965.70 / $1,701.70
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$171.67 / $654.90 / $1,502.50
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$193.13 / $677.10 / $1,502.50
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$171.67 / $589.50 / $1,258.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$355.60 / $710.40 / $1,292.00
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$698.15 / $698.15 / $793.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $131.25 / $463.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.28 / $415.38 / $750.00
United
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$85.00 / $85.00 / $95.00
United
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$90.00 / $90.00 / $90.00