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Pennsylvania 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
$224.35 / $293.89 / $871.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.82 / $233.97 / $289.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $998.66 / $2,109.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.35 / $410.56 / $886.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.91 / $231.28 / $298.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.90 / $338.90 / $338.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $990.82 / $2,269.00
Priority Health
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
$550.00 / $1,734.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.53 / $296.17 / $484.31