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South Dakota rates for HCPCS 00811

Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $275.42 / $2,691.53
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$331.13 / $562.34 / $691.83
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$61.66 / $190.55 / $302.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$141.25 / $181.97 / $302.00
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$165.96 / $190.55 / $263.03
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$295.12 / $575.44 / $707.95
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$354.81 / $398.11 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $1,096.48 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$446.68 / $446.68 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.53 / $245.47 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.74 / $346.74 / $346.74