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Alaska rates for HCPCS 0652T

Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,473.04 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.93 / $311.87 / $363.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.16 / $363.93 / $509.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.72 / $1,236.59 / $1,694.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.16 / $363.93 / $509.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.41 / $1,086.25 / $1,738.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.10 / $787.03 / $2,164.08