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Louisiana 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
Professional
Modifier
AA
Low / Median / High Price
$446.68 / $630.96 / $977.24
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$162.18 / $346.74 / $512.86
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$190.55 / $363.08 / $524.81
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$302.00 / $380.19 / $467.74
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$380.19 / $524.81 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$141.25 / $162.18 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$67.61 / $85.11 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$67.61 / $83.18 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$138.04 / $162.18 / $354.81