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Montana 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
Professional
Modifier
Low / Median / High Price
$148.15 / $231.28 / $397.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.39 / $405.39 / $405.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.39 / $405.39 / $405.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.47 / $237.67 / $437.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.39 / $405.39 / $540.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.49 / $431.28 / $527.62