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Maine rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$702.75 / $790.59 / $873.00
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$298.08 / $672.30 / $747.00
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$252.58 / $920.79 / $920.79
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$298.80 / $298.80 / $298.80
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,153.20 / $1,252.76 / $1,571.40
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$932.58 / $932.58 / $932.58
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$500.96 / $500.96 / $837.20
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$702.75 / $790.59 / $873.00
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$672.30 / $672.30 / $747.00
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$228.21 / $394.65 / $920.79
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$298.80 / $298.80 / $298.80
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,153.20 / $1,252.76 / $1,571.40