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Kansas 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
$1,700.00 / $4,747.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $132.82 / $137.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.86 / $2,248.86 / $2,248.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.25 / $138.19 / $2,505.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.69 / $199.68 / $1,063.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,303.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.33 / $180.71 / $267.80