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Missouri 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
$1,778.28 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $891.25 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,096.48 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,819.70