go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $354.81 / $602.56