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North Carolina 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
Facility
Modifier
QX
Low / Median / High Price
$363.08 / $363.08 / $602.56
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$549.54 / $954.99 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$288.40 / $446.68 / $691.83
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$281.84 / $436.52 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$316.23 / $436.52 / $660.69
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$331.13 / $588.84 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $316.23 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$85.11 / $114.82 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$77.62 / $114.82 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$85.11 / $95.50 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $165.96 / $588.84
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$134.90 / $134.90 / $134.90
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$134.90 / $134.90 / $134.90
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$134.90 / $134.90 / $134.90