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Louisiana rates for HCPCS 91110

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

Facilitymedian $174 · 10th–90th $148$1780%20%10th90th$174Professionalmedian $724 · 10th–90th $126$1,4130%5%10%10th90th$724$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $173.78 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $954.99 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $158.49 / $275.42
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $776.25 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $537.03 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $977.24
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $147.91 / $181.97
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $758.58 / $831.76
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $933.25 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $165.96 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $758.58 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $165.96 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $741.31 / $1,174.90