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Hawaii 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
$1,758.00 / $4,456.00 / $5,299.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.99 / $853.21 / $1,105.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.86 / $870.44 / $1,131.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.30 / $1,463.84 / $1,786.83