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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $239.88 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $309.03 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,890.45 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $281.84 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $616.60