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Camera Capsule Study of the Esophagus

Missouri 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 $55 · 10th–90th $46$1050%20%40%10th90th$55$10.0$20.0$50.0$100.0$200.0

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
$45.71
Typical High
$54.95
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.96
Median
$50.12
Typical High
$72.44
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$104.71
Median
$218.78
Typical High
$218.78