go back

Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.79 / $797.65 / $1,099.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.80 / $2,223.57 / $3,902.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.63 / $1,345.96 / $1,794.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.80 / $2,078.82 / $4,595.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.79 / $1,338.13 / $2,808.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.06 / $1,869.33 / $6,755.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.23 / $1,672.80 / $4,595.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.40 / $1,672.80 / $4,595.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $1,194.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.06 / $1,981.49 / $2,357.71