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Pennsylvania 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
QK
Low / Median / High Price
$199.53 / $199.53 / $338.84
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$549.54 / $831.76 / $933.25
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$295.12 / $295.12 / $338.84
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$977.24 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$323.59 / $977.24 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$194.98 / $380.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$213.80 / $380.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$288.40 / $398.11 / $758.58
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$467.74 / $691.83 / $1,513.56
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $223.87 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$70.79 / $109.65 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$60.26 / $91.20 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$85.11 / $138.04 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $181.97 / $457.09
Cigna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$141.25 / $316.23 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$141.25 / $316.23 / $467.74
Highmark BCBS
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$61.66 / $61.66 / $61.66
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$467.74 / $588.84 / $1,412.54
Highmark BCBS
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$478.63 / $602.56 / $831.76
Highmark BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$467.74 / $575.44 / $758.58
Highmark BCBS
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$467.74 / $602.56 / $776.25
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$380.19 / $489.78 / $602.56
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$199.53 / $199.53 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$549.54 / $831.76 / $933.25
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$295.12 / $295.12 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$977.24 / $977.24 / $977.24
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$457.09 / $1,047.13 / $1,778.28
Martin's Point
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$245.47 / $398.11 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$239.88 / $389.05 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$302.00 / $426.58 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$446.68 / $691.83 / $1,548.82