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North Carolina 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
$135.55 / $4,376.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.02 / $135.55 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $249.49 / $384.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $1,927.35 / $3,635.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.97 / $135.83 / $181.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.83 / $185.00 / $198.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,728.00 / $4,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.33 / $175.10 / $352.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.36 / $10,639.60 / $10,639.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.00 / $1,032.00 / $1,235.40