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Vermont rates for HCPCS 91110

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

Professionalmedian $692 · 10th–90th $162$1,4790%5%10%10th90th$692$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,023.29 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $213.80 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $812.83 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,122.02 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $851.14 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
MVP Health Care
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,258.93 / $3,388.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $186.21 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $1,995.26