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Nevada 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
$116.25 / $116.25 / $125.55
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$161.69 / $161.69 / $174.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.63 / $1,191.97 / $4,692.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.25 / $207.93 / $680.92
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$316.98 / $404.25 / $2,346.23
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$126.79 / $161.69 / $938.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$564.08 / $767.25 / $1,175.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.41 / $803.25 / $1,318.51
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.09 / $172.59 / $194.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$611.16 / $669.06 / $1,130.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.15 / $1,084.90 / $1,475.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.06 / $186.00 / $289.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$619.46 / $880.05 / $1,246.04
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $1,008.00 / $1,285.08
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.30 / $159.15 / $218.83
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.25 / $822.82 / $1,083.36
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $675.37 / $1,204.77
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.30 / $117.50 / $176.25
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.00 / $779.78 / $1,028.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.44 / $1,093.50 / $1,635.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $195.17 / $269.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$656.93 / $930.92 / $1,408.27