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Indiana 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
$582.54 / $3,500.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.16 / $791.79 / $955.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.92 / $842.06 / $2,515.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.95 / $820.95 / $13,944.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.95 / $820.95 / $12,314.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $1,039.25 / $1,158.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.31 / $2,515.66 / $2,515.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.09 / $1,042.08 / $1,779.76