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North Carolina 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
$870.96 / $6,760.83 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,445.44 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,000.00 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,479.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,778.28 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,778.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $7,943.28