go back

Tennessee 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
$758.58 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,168.69 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $2,041.74 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,187.76 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $275.42