go back

Hawaii 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
$1,486.00 / $3,883.00 / $4,705.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.14 / $133.88 / $173.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.35 / $178.20 / $207.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $197.76 / $239.89