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Missouri 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
$1,139.00 / $2,782.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.37 / $293.12 / $383.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.86 / $305.63 / $537.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,559.00 / $3,559.00 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.63 / $481.63 / $481.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.37 / $383.62 / $2,363.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.73 / $500.34 / $2,229.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.70 / $438.14 / $808.70