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Illinois 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
$741.31 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $398.11 / $630.96