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Illinois rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,254.18 / $1,254.18 / $1,254.18
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$496.80 / $632.61 / $1,120.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$214.59 / $341.25 / $597.38
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$211.52 / $322.92 / $569.60
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$193.13 / $254.44 / $531.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$411.80 / $538.65 / $1,062.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$178.11 / $235.98 / $552.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$104.88 / $144.21 / $199.70
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$12.88 / $139.79 / $448.00
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$72.56 / $130.30 / $152.38
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$135.59 / $183.54 / $319.52
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $180.00 / $180.00