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Magnet-Steered Camera Capsule Of The Stomach

Wisconsin rates for HCPCS 0651T

The patient swallows a small camera capsule, which is then steered from outside the body using a magnet so the lining of the food pipe and stomach can be examined without passing a scope down the throat. The images captured are reviewed afterwards and a report is issued.

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $151$5,2480%10%10th90th$331Professionalmedian $282 · 10th–90th $166$8910%10%10th90th$282$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$512.86
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$302.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$851.14
Quartz
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,691.53
Typical High
$3,890.45
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,548.13
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$1,023.29