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North Carolina 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
$285.92 / $4,311.00 / $7,362.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.74 / $285.92 / $326.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $527.60 / $813.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.80 / $887.89 / $1,675.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.12 / $1,428.12 / $1,428.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.74 / $284.75 / $400.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.75 / $388.00 / $417.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.47 / $381.46 / $729.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.44 / $4,901.45 / $4,901.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.16 / $2,314.16 / $2,772.00