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New Hampshire rates for HCPCS 0651T

Magnetically Controlled Capsule Endoscopy W/I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.35 / $258.49 / $300.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.81 / $959.51 / $1,438.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.32 / $2,862.32 / $2,962.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.50 / $493.86 / $881.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.97 / $413.75 / $823.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00