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Alaska rates for HCPCS 0651T

Magnetically controlled capsule endoscopy, esophagus through stomach, including intraprocedural positioning of capsule, with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.82 / $1,046.08 / $1,918.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $256.64 / $298.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.61 / $298.88 / $427.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.28 / $1,040.84 / $1,425.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.61 / $298.88 / $427.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.21 / $1,096.50 / $1,462.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.87 / $643.02 / $1,773.67