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Illinois 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
$676.00 / $2,292.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.16 / $829.58 / $995.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.36 / $2,709.12 / $3,460.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,681.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.29 / $2,515.66 / $4,328.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.75 / $1,293.33 / $2,071.21