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Maryland rates for HCPCS 0647T

Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.20 / $893.73 / $1,034.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $911.25 / $1,530.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.66 / $2,515.66 / $4,328.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.80 / $1,109.47 / $1,447.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.16 / $1,058.77 / $1,855.36