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Florida rates for HCPCS 91110

Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $112.20 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $181.97 / $549.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$213.80 / $794.33 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$398.11 / $549.54 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$562.34 / $741.31 / $1,445.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $158.49 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $125.89 / $213.80
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$36.31 / $181.97 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $199.53 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$575.44 / $870.96 / $1,584.89
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.18 / $162.18 / $162.18
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,047.13
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $112.20 / $204.17
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $524.81 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $426.58 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $173.78 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$549.54 / $758.58 / $1,412.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $117.49
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $446.68 / $660.69