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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
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,818.38 / $4,073.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $676.08 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,479.11 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $281.84