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Indiana rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$479.85 / $713.58 / $909.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$282.88 / $342.35 / $953.06
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$162.00 / $335.80 / $409.50
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$74.37 / $409.50 / $493.64
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$310.50 / $467.05 / $577.50
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$160.88 / $249.35 / $640.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$80.23 / $167.45 / $210.70
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$12.88 / $129.66 / $337.50
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$74.45 / $157.50 / $337.50
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.53 / $216.94 / $750.00
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