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Wisconsin rates for HCPCS 91111

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

Facilitymedian $138 · 10th–90th $48$2340%20%10th90th$138Professionalmedian $56 · 10th–90th $56$560%50%100%$56$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $138.04 / $223.87
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $288.40 / $288.40
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23