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New Mexico 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
$1,548.82 / $7,762.47 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $70.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $891.25 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,513.56 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,467.37 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $1,862.09