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Camera Capsule Study of the Esophagus

Michigan 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 $52 · 10th–90th $52$1380%50%90th$52$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$52.48
Median
$138.04
Typical High
$154.88