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Utah rates for HCPCS 0654T

Egd Flexible Transnasal W/Insj Intral Tube/Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.71 / $3,064.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.34 / $135.44 / $147.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,393.93 / $7,261.43 / $10,581.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.26 / $167.37 / $175.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,515.00 / $7,609.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $185.40 / $305.69