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Tennessee 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
$184.26 / $304.02 / $471.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.22 / $230.32 / $276.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.00 / $2,094.00 / $2,849.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.13 / $327.00 / $536.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $878.87 / $3,203.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.41 / $3,961.55 / $3,961.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.52 / $1,910.32 / $2,153.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.70 / $324.49 / $534.14