go back

New Jersey 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
$724.44 / $741.31 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,019.95 / $4,677.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,011.87 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $549.54