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Texas rates for HCPCS 00813

Anesthesia Combined Upper&Lower Gi Endoscopic Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$3,740.00 / $3,740.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$485.10 / $738.70 / $1,260.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$160.65 / $274.05 / $377.65
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$220.50 / $280.35 / $391.30
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$323.05 / $332.15 / $427.70
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$415.80 / $453.60 / $529.20
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$160.40 / $549.50 / $863.50
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$85.08 / $292.50 / $604.08
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$60.15 / $260.00 / $487.50
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$77.00 / $227.50 / $392.50
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$140.35 / $459.00 / $650.00
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 / $180.00 / $180.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50
Moda Health
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$23.24 / $116.56 / $240.61
Moda Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$100.27 / $180.00 / $280.00
Moda Health
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$76.00 / $232.00 / $277.31
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$174.00 / $216.00 / $234.69
Providence
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$174.00 / $216.00 / $234.69
Providence
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$174.00 / $216.00 / $234.69