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West Virginia 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
$870.16 / $870.16 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.05 / $870.16 / $986.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.77 / $12,673.55 / $28,388.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.81 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.25 / $1,039.25 / $1,039.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,328.07 / $4,328.07 / $4,328.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.48 / $1,048.39 / $1,643.33