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New York 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
$175.10 / $298.07 / $384.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.10 / $254.83 / $300.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.05 / $698.90 / $1,111.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $287.45 / $7,289.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.77 / $238.77 / $238.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.77 / $345.02 / $541.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $555.00 / $7,289.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,612.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.04 / $293.94 / $654.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.77 / $245.61 / $245.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.61 / $245.61 / $515.25