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Nebraska 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
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.81 / $124.76 / $172.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,100.60 / $4,495.00 / $7,888.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.31 / $211.91 / $282.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.37 / $327.30 / $722.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.81 / $204.29 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.17 / $293.27 / $1,063.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.54 / $722.12 / $3,564.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.53 / $263.37 / $722.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $180.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $3,167.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.17 / $292.55 / $369.91