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Wisconsin 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
QX
Low / Median / High Price
$72.44 / $131.83 / $389.05
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$575.44 / $1,000.00 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$269.15 / $398.11 / $676.08
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$239.88 / $389.05 / $676.08
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$223.87 / $380.19 / $776.25
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$457.09 / $660.69 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$691.83 / $691.83 / $794.33