go back

North Dakota 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
$173.36 / $173.36 / $441.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.36 / $228.67 / $244.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.97 / $594.97 / $594.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.36 / $300.62 / $520.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.81 / $474.77 / $994.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $452.16 / $676.75