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Pennsylvania rates for HCPCS 0654T

Egd Flexible Transnasal W/Insj Intral Tube/Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $134.90 / $162.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $2,269.00 / $5,284.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.72 / $196.72 / $196.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.97 / $145.97 / $145.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $140.26 / $1,659.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $2,109.00 / $5,028.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $1,689.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $172.60 / $284.37