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Camera Capsule Study of the Esophagus

Illinois rates for HCPCS 91111

A pill-sized camera is swallowed and takes a rapid series of pictures as it passes down the food pipe. The images are sent to a recorder worn on the body and reviewed afterwards to examine the lining of the esophagus, for example for enlarged veins or inflammation. The capsule then passes out naturally in a bowel movement.

Facilitymedian $81 · 10th–90th $46$810%50%10th$81Professionalmedian $66 · 10th–90th $48$2690%10%10th90th$66$50.0$100.0$200.0$500.0

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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$45.71
Median
$81.28
Typical High
$81.28
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$66.07
Typical High
$269.15
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00