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Tennessee 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
$47.86 / $100.00 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $69.18
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$288.40 / $288.40 / $288.40