go back

Pennsylvania rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$199.68 / $199.68 / $340.43
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$494.64 / $552.96 / $942.73
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$178.62 / $287.29 / $339.38
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$172.06 / $765.00 / $1,540.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$124.57 / $354.54 / $479.09
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$138.27 / $352.43 / $469.86
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$251.94 / $323.74 / $404.58
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$557.33 / $680.03 / $838.30
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$147.77 / $224.66 / $325.05
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$90.27 / $168.35 / $270.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$30.61 / $139.79 / $270.00
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$95.00 / $130.30 / $198.96
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$160.40 / $279.58 / $636.00
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $360.00 / $360.00
Highmark BCBS
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$61.92 / $61.92 / $61.92
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$456.71 / $611.61 / $1,378.00
Highmark BCBS
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$470.13 / $584.91 / $840.10
Highmark BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$455.73 / $575.12 / $804.01
Highmark BCBS
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$437.18 / $595.76 / $737.50
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$372.08 / $470.24 / $591.70
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$199.68 / $340.43 / $340.43
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$494.64 / $795.56 / $942.73
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$178.62 / $287.29 / $339.38
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$211.36 / $729.00 / $1,530.00
Martin's Point
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$126.02 / $348.45 / $474.37
Martin's Point
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$147.78 / $347.31 / $464.86
Martin's Point
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$238.69 / $319.64 / $409.05
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$550.62 / $663.88 / $838.30
Priority Health
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$180.00 / $180.00 / $180.00
Priority Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.00 / $180.00 / $180.00
Priority Health
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$180.00 / $180.00 / $360.00