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Nebraska 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
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.04 / $276.04 / $383.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,100.60 / $4,495.00 / $7,888.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.25 / $444.27 / $598.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.16 / $686.18 / $1,516.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.35 / $445.80 / $2,808.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.14 / $618.85 / $2,229.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.50 / $1,174.57 / $2,030.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.68 / $552.16 / $1,516.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $378.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.14 / $649.79 / $780.53