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Montana rates for HCPCS 00812

Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $288.40
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$199.53 / $489.78 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$269.15 / $478.63 / $588.84
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$234.42 / $457.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$208.93 / $446.68 / $537.03
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.74 / $457.09 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $3,311.31