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New Hampshire 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
$186.21 / $245.47 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $741.31
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,388.44 / $4,168.69