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Maine 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
$239.88 / $302.00 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $1,023.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $724.44