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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.04 / $820.06 / $986.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.00 / $2,714.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.23 / $1,209.34 / $1,910.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,087.39 / $4,445.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,328.07 / $4,328.07 / $4,328.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.39 / $5,223.20 / $5,373.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,567.60 / $6,755.28 / $7,869.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.25 / $1,184.19 / $1,967.52