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Arkansas rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$583.44 / $583.44 / $583.44
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$578.00 / $722.50 / $867.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$201.50 / $263.50 / $361.25
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$178.50 / $240.00 / $275.89
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$252.88 / $289.00 / $325.13
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$292.67 / $505.75 / $794.75
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$267.95 / $459.00 / $660.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$204.00 / $206.04 / $255.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$81.92 / $204.00 / $331.50
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$229.50 / $229.50 / $229.50
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$357.00 / $459.00 / $547.20
Qualchoice
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$469.20 / $469.20 / $759.00
Qualchoice
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$236.95 / $236.95 / $293.25
Qualchoice
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$234.60 / $234.60 / $293.25
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$462.88 / $527.85 / $707.94