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Missouri 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
$1,547.00 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.21 / $132.82 / $172.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.93 / $137.71 / $233.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,939.00 / $4,939.00 / $4,939.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.21 / $174.42 / $2,363.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.26 / $237.23 / $1,063.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,269.00 / $2,831.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.37 / $205.96 / $334.19