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Michigan 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
$233.97 / $327.56 / $467.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.15 / $233.97 / $271.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.62 / $876.62 / $876.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.79 / $920.45 / $1,095.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.97 / $552.75 / $729.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.64 / $233.97 / $300.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.81 / $339.05 / $467.50