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Pennsylvania rates for HCPCS 91111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $47.86 / $52.48
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.96 / $50.12 / $72.44
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $47.86 / $52.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $43.65 / $51.29