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Delaware 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
$4,073.80 / $4,073.80 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $416.87 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $245.47