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Camera Capsule Study of the Esophagus

Washington 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 $91 · 10th–90th $63$1410%10%10th90th$91$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$64.57
Median
$95.50
Typical High
$141.25
Asuris Northwest Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Kaiser Permanente
Setting
Facility
Modifier
26 · Professional part
Typical Low
$57.54
Median
$91.20
Typical High
$2,238.72
Premera BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89