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Alabama 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
$198.62 / $198.62 / $198.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $198.62 / $259.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.48 / $1,545.43 / $2,079.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,738.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.86 / $263.81 / $427.93