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West Virginia 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
$231.28 / $231.28 / $462.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.26 / $241.67 / $276.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.87 / $3,565.80 / $7,488.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.22 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $287.45 / $287.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.20 / $301.88 / $509.14