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Michigan rates for HCPCS 0653T

Esophagogastroduodenoscopy, flexible, transnasal; with biopsy, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.93 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.31 / $365.93 / $405.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.57 / $1,522.82 / $3,609.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.97 / $214.39 / $255.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.59 / $243.59 / $243.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.59 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $365.93 / $466.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.40 / $536.75 / $721.11