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Texas 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
$34.65 / $41.44 / $50.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.06 / $51.06 / $51.06
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.23 / $220.64 / $220.64
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.06 / $51.06 / $51.06