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Nebraska 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
QZ
Low / Median / High Price
$891.25 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$446.68 / $645.65 / $912.01
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$323.59 / $416.87 / $562.34
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$204.17 / $407.38 / $562.34
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$316.23 / $398.11 / $489.78
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$524.81 / $660.69 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$151.36 / $229.09 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$87.10 / $107.15 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$81.28 / $107.15 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$95.50 / $95.50 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$141.25 / $229.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$416.87 / $416.87 / $524.81