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Massachusetts 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
$1,000.00 / $2,290.87 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $331.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,548.13 / $5,128.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $1,905.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $512.86
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $912.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,548.13 / $5,128.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $954.99