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Magnet-Steered Camera Capsule Of The Stomach

Maine rates for HCPCS 0651T

The patient swallows a small camera capsule, which is then steered from outside the body using a magnet so the lining of the food pipe and stomach can be examined without passing a scope down the throat. The images captured are reviewed afterwards and a report is issued.

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $692$6920%50%100%$692Professionalmedian $324 · 10th–90th $251$8510%10%20%10th90th$324$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$257.04
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$741.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$724.44