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California 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
$1,587.51 / $7,281.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.20 / $863.79 / $1,036.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.90 / $1,035.21 / $1,905.80
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.50 / $197.33 / $2,428.96
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.79 / $697.46 / $1,588.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $1,091.68 / $4,198.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $4,328.07 / $4,328.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.58 / $1,211.58 / $1,272.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $638.07 / $1,525.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.39 / $5,223.20 / $5,373.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,567.60 / $6,755.28 / $7,869.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $910.89 / $1,389.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.59 / $307.18 / $1,526.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.00 / $3,952.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $1,045.53 / $2,233.33