go back

Montana rates for HCPCS 0652T

Egd Flexible Transnasal Dx W/Collj Spec Br/Wa

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.42 / $288.05 / $470.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.63 / $481.63 / $481.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.63 / $481.63 / $481.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.04 / $271.48 / $502.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.16 / $377.24 / $552.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.19 / $512.71 / $651.61