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Virginia 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
$154.88 / $4,771.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.14 / $149.60 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.76 / $157.59 / $218.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $610.00 / $2,110.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.75 / $164.10 / $229.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.66 / $154.88 / $253.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $238.44 / $338.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.81 / $190.09 / $327.23
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.81 / $190.09 / $327.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.00 / $2,441.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.34 / $180.69 / $280.70