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South Carolina rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$422.33 / $422.33 / $422.33
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$276.64 / $276.64 / $662.20
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$310.69 / $869.05 / $1,367.98
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$176.62 / $525.72 / $720.37
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$189.39 / $567.57 / $965.61
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$391.61 / $503.20 / $649.64
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$331.20 / $412.80 / $743.68
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$138.46 / $152.38 / $197.80
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$106.32 / $192.00 / $676.40
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$110.77 / $142.41 / $384.00
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$85.05 / $256.00 / $424.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.46 / $170.11 / $459.00
BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$175.00 / $292.50 / $425.90
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$49.45 / $87.50 / $189.05
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$140.00 / $200.00 / $302.50