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Magnet-Steered Camera Capsule Of The Stomach

Montana 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 $437 · 10th–90th $240$4570%50%10th90th$437Professionalmedian $263 · 10th–90th $229$4470%20%10th90th$263$2.0$10.0$50.0$200.0$1.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$407.38
Typical High
$407.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$524.81