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Ohio 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
$1,622.00 / $6,492.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.54 / $891.02 / $995.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,114.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.38 / $878.31 / $1,175.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.50 / $2,295.31 / $20,252.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.50 / $12,982.50 / $22,394.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $1,042.24 / $1,758.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $4,328.07 / $4,328.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $1,042.24 / $1,309.85
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $1,459.62 / $4,328.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,499.00 / $5,235.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.92 / $1,136.82 / $1,860.49