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Kentucky 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
$126.56 / $178.54 / $1,345.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.56 / $229.64 / $259.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.39 / $674.39 / $888.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.38 / $3,003.39 / $12,249.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.83 / $352.40 / $5,406.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $287.45 / $287.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $794.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.07 / $336.21 / $489.76