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Oklahoma 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
$1,000.00 / $3,612.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $115.25 / $156.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.94 / $134.90 / $3,237.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.39 / $174.24 / $1,063.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $2,517.00 / $4,393.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.41 / $163.94 / $238.96