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Indiana 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
$164.64 / $164.64 / $270.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $219.43 / $271.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.23 / $674.39 / $888.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.19 / $232.19 / $3,792.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.19 / $232.19 / $3,482.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $761.00 / $936.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.32 / $1.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.46 / $290.19 / $503.44