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Transnasal Upper Digestive Scope Exam, Diagnostic

Indiana 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 $4,467 · 10th–90th $1,995$8,3180%10%10th90th$4,467Professionalmedian $269 · 10th–90th $115$3470%20%10th90th$269$100.0$500.0$2.0K$10.0K

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
$831.76
Median
$4,897.79
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,466.84
Typical High
$8,709.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$158.49
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,715.35
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$549.54