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Kentucky 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
$72.65 / $1,241.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.65 / $129.72 / $145.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $4,516.00 / $5,018.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.72 / $158.33 / $177.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.93 / $1,734.33 / $12,249.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $203.50 / $3,121.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $163.60 / $163.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,339.00 / $5,654.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.58 / $193.30 / $282.76