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South 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
$3,801.89 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $575.44 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $316.23 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $616.60