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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.04 / $858.34 / $999.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $1,459.62 / $1,459.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.83 / $888.03 / $1,198.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.69 / $212.69 / $212.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.37 / $3,858.04 / $5,765.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.90 / $1,381.06 / $1,381.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.00 / $1,207.50 / $1,942.50