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Massachusetts 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
$258.70 / $288.95 / $288.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.61 / $262.39 / $300.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.70 / $2,338.00 / $4,755.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.57 / $473.10 / $1,857.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $1,554.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.83 / $351.83 / $413.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $623.39 / $786.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.70 / $2,338.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.69 / $473.10 / $1,857.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.19 / $428.63 / $899.07