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Nebraska 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
$227.18 / $227.18 / $243.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.13 / $227.18 / $304.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.80 / $2,223.57 / $3,902.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.00 / $385.22 / $513.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.76 / $594.97 / $1,321.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.18 / $383.93 / $1,387.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.56 / $535.11 / $1,910.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.37 / $1,047.66 / $1,327.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.86 / $478.76 / $1,321.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.90 / $338.90 / $338.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.56 / $546.14 / $674.91