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Louisiana 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
$400.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $139.00 / $158.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.12 / $271.12 / $271.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.75 / $2,770.54 / $4,102.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.28 / $1,805.28 / $1,805.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $525.00 / $2,599.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $679.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,646.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.41 / $181.33 / $297.38