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Massachusetts 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
$995.11 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.91 / $934.55 / $1,105.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $3,592.00 / $5,223.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.60 / $1,655.37 / $6,567.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $1,923.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.92 / $1,238.92 / $1,457.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.05 / $2,244.54 / $2,831.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $3,592.00 / $5,223.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.60 / $1,655.37 / $6,567.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.95 / $1,586.38 / $3,856.33