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Montana rates for HCPCS 00812

Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy

Facilitymedian $1,148 · 10th–90th $166–$89,1250%10%20%10th90th$1,148Professionalmedian $339 · 10th–90th $200–$6460%10%20%10th90th$339$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $288.40
Aetna
Facility/Professional
Facility
Modifier
QZ
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$234.42 / $549.54 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$234.42 / $295.12 / $489.78
Aetna
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$162.18 / $251.19 / $346.74
Aetna
Facility/Professional
Professional
Modifier
QY
Typical Low / Median / Typical High
$190.55 / $416.87 / $512.86
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$354.81 / $501.19 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $1,584.89 / $3,311.31