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Maine rates for HCPCS 0654T

Egd Flexible Transnasal W/Insj Intral Tube/Cath

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.07 / $137.44 / $146.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.94 / $159.54 / $159.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $163.60 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $207.94 / $325.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.07 / $137.44 / $146.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,609.06 / $7,609.06 / $7,609.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $198.65 / $306.61