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Pennsylvania 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
$812.83 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $169.82 / $389.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $851.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,398.83 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $549.54