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Oregon 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
$2,747.00 / $6,072.60 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $142.44 / $156.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,229.54 / $3,229.54 / $3,250.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.87 / $301.83 / $373.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.44 / $156.88 / $307.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.87 / $171.87 / $5,307.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.97 / $1,610.90 / $2,822.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.27 / $156.88 / $337.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.17 / $173.04 / $290.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,580.28 / $8,714.52 / $14,336.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.56 / $341.08 / $438.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $5,517.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.12 / $295.20 / $425.81