go back

Tennessee 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
Professional
Modifier
AA
Low / Median / High Price
$602.56 / $851.14 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$281.84 / $457.09 / $691.83
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$288.40 / $457.09 / $776.25
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$316.23 / $436.52 / $645.65
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$323.59 / $549.54 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $158.49 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$70.79 / $91.20 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$77.62 / $89.13 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$70.79 / $87.10 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $177.83 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$134.90 / $134.90 / $134.90
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$134.90 / $134.90 / $134.90
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$134.90 / $134.90 / $134.90