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Oklahoma 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
$201.15 / $201.15 / $301.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.10 / $207.70 / $288.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.15 / $229.31 / $2,974.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.24 / $307.02 / $1,910.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.05 / $290.19 / $421.05