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Iowa 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
$2,906.00 / $4,778.89 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.25 / $124.76 / $154.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.77 / $182.53 / $220.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.76 / $220.54 / $9,258.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.28 / $262.56 / $1,063.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.53 / $2,968.50 / $3,508.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.77 / $182.53 / $327.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $180.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.00 / $4,878.97 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.58 / $243.54 / $436.73