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Indiana 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
$91.12 / $3,500.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $123.81 / $149.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.72 / $223.20 / $316.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.00 / $129.00 / $2,190.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $129.00 / $1,935.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $761.00 / $2,513.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.43 / $294.62 / $294.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $3,782.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.39 / $164.83 / $278.54