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Pennsylvania rates for HCPCS 00840

Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$831.76 / $831.76 / $1,288.25
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$354.81 / $524.81 / $616.60
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$851.14 / $1,000.00 / $4,073.80
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$691.83 / $794.33 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$831.76 / $831.76 / $1,288.25
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$354.81 / $524.81 / $616.60
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$851.14 / $1,000.00 / $4,073.80
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$691.83 / $794.33 / $1,000.00