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South Dakota 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
$244.85 / $244.85 / $244.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.36 / $244.85 / $250.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.77 / $413.80 / $619.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.57 / $463.79 / $1,910.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.32 / $594.97 / $1,683.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.86 / $327.86 / $478.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.80 / $463.79 / $721.45