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Louisiana 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
$234.62 / $344.12 / $1,034.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.22 / $234.62 / $267.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.49 / $1,553.12 / $2,608.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.18 / $672.18 / $672.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $525.00 / $967.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.39 / $405.39 / $1,202.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.32 / $315.74 / $507.60