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Arizona rates for HCPCS 0654T

Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.00 / $2,788.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $143.04 / $224.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $160.63 / $254.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.95 / $2,109.10 / $3,455.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.44 / $224.03 / $2,109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.84 / $168.92 / $1,063.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,405.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.72 / $156.56 / $272.66