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New Hampshire 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
QZ
Low / Median / High Price
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$676.08 / $812.83 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$309.03 / $467.74 / $912.01
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$331.13 / $436.52 / $912.01
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$199.53 / $660.69 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$724.44 / $851.14 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$144.54 / $186.21 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$67.61 / $147.91 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$97.72 / $147.91 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$141.25 / $158.49 / $1,148.15