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Arkansas rates for HCPCS 00813

Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$426.58 / $645.65 / $912.01
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$245.47 / $426.58 / $588.84
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$251.19 / $426.58 / $616.60
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$331.13 / $398.11 / $467.74
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$295.12 / $426.58 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $218.78 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$81.28 / $91.20 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$79.43 / $112.20 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$79.43 / $128.82 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $295.12 / $537.03
Qualchoice
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$407.38 / $407.38 / $812.83
Qualchoice
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$263.03 / $263.03 / $295.12
Qualchoice
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$204.17 / $204.17 / $234.42
Qualchoice
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$281.84 / $281.84 / $346.74
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$407.38 / $524.81 / $724.44