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North Dakota rates for HCPCS 0654T

Egd Flexible Transnasal W/Insj Intral Tube/Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.15 / $94.15 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $126.55 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.30 / $327.30 / $327.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.15 / $173.50 / $442.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.34 / $258.79 / $560.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.39 / $258.79 / $364.81