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Montana 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
$173.78 / $741.31 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$91.20 / $562.34 / $724.44
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$467.74 / $562.34 / $812.83
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$123.03 / $537.03 / $660.69
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$316.23 / $549.54 / $831.76