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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $134.71 / $156.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.67 / $143.04 / $187.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.87 / $171.87 / $171.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $257.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,208.80 / $7,297.92 / $11,603.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.80 / $217.41 / $217.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.43 / $201.88 / $304.88