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Arizona 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
$397.80 / $564.88 / $2,136.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.10 / $256.64 / $397.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.40 / $2,346.29 / $4,111.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.07 / $827.50 / $961.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.87 / $785.30 / $1,286.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.39 / $405.39 / $405.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.05 / $417.33 / $2,421.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.99 / $299.70 / $1,910.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,499.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.61 / $277.77 / $483.77