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Pennsylvania rates for HCPCS 91111

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

Facilitymedian $48 · 10th–90th $46–$520%50%10th90th$48$50.0

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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $47.86 / $52.48
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $47.86 / $52.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $43.65 / $51.29