go back

Ohio 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
$472.67 / $3,242.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $140.26 / $173.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,114.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.04 / $153.72 / $223.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.93 / $360.49 / $3,180.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.93 / $2,038.95 / $3,517.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $2,262.39 / $3,816.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $679.76 / $679.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $2,262.39 / $2,843.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $679.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,665.00 / $5,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.60 / $178.43 / $294.89