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Transnasal Upper Digestive Scope Exam, Diagnostic

Idaho rates for HCPCS 0652T

An exam of the esophagus, stomach, and duodenum (the first part of the small intestine) using a thin flexible scope passed through the nose, done for diagnosis. Collection of a specimen, when performed, is included; an exam that adds biopsy is a separate service.

Facilitymedian $1,413 · 10th–90th $275$5,4950%10%10th90th$1,413Professionalmedian $288 · 10th–90th $174$3630%20%10th90th$288$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,630.78
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$537.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,890.45
Typical High
$6,025.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$616.60