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Maryland rates for HCPCS 0651T

Magnetically Controlled Capsule Endoscopy W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.74 / $247.74 / $247.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.10 / $247.74 / $288.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $707.21 / $1,237.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1,202.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.37 / $306.27 / $399.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.25 / $299.58 / $539.25