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Arizona 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
$1,008.00 / $2,640.00 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.97 / $301.77 / $470.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $160.63 / $254.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.77 / $971.62 / $1,591.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.63 / $481.63 / $481.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.97 / $362.27 / $1,804.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.08 / $356.29 / $2,229.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,499.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.85 / $330.22 / $601.36