go back

Missouri 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
$154.47 / $351.95 / $427.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.15 / $234.63 / $289.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.27 / $243.48 / $463.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,559.00 / $3,559.00 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.39 / $405.39 / $405.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.47 / $315.25 / $2,363.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.30 / $415.45 / $1,910.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.23 / $348.30 / $578.05