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South Dakota rates for HCPCS 00811

Anesthesia Lower Intst Endoscopic Px Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $275.00 / $275.00
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,454.69 / $1,454.69 / $1,454.69
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$107.14 / $107.14 / $107.14
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$140.00 / $218.05 / $302.60
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$58.84 / $186.90 / $302.60
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$173.25 / $189.00 / $189.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$129.55 / $523.32 / $705.60
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$342.85 / $404.25 / $428.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.09 / $337.77 / $1,592.57
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$444.00 / $444.00 / $444.00
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.50 / $222.00 / $246.00
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.20 / $346.20 / $346.20