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Indiana 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
$457.09 / $741.31 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$309.03 / $436.52 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$302.00 / $416.87 / $645.65
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$316.23 / $407.38 / $588.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$398.11 / $575.44 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $229.09 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$87.10 / $128.82 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$77.62 / $91.20 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$74.13 / $89.13 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$141.25 / $177.83 / $524.81