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South Dakota rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$932.58 / $932.58 / $932.58
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$264.77 / $280.35 / $302.60
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$172.50 / $249.20 / $340.43
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$311.50 / $311.50 / $346.50
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$500.96 / $697.76 / $837.20
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$411.42 / $485.10 / $514.28
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$444.00 / $444.00 / $444.00
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.50 / $222.00 / $246.00
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.20 / $346.20 / $346.20