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Minnesota 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
$838.13 / $838.13 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.08 / $838.13 / $923.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.56 / $4,388.64 / $7,695.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.64 / $924.64 / $1,635.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $1,459.62 / $1,735.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.54 / $1,416.44 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.21 / $1,940.38 / $6,755.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.72 / $1,826.03 / $3,551.00