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Montana 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
$86.98 / $136.59 / $224.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.50 / $144.06 / $246.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.78 / $229.77 / $304.06
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
$206.00 / $238.97 / $297.38