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Maryland rates for HCPCS 0654T

Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $139.91 / $156.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $1,966.73 / $3,323.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.62 / $294.62 / $679.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.18 / $174.21 / $227.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $525.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.80 / $161.68 / $272.83