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Arizona rates for HCPCS 0647T

Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.20 / $911.50 / $1,426.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.38 / $695.88 / $1,219.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.05 / $702.22 / $1,110.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.77 / $971.62 / $1,591.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $1,459.62 / $1,459.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.97 / $1,013.04 / $2,453.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $1,076.25 / $6,755.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,499.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.75 / $994.72 / $1,737.23