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Capsule Camera Study Of The Colon

Alaska rates for HCPCS 91113

A study in which you swallow a vitamin-sized capsule containing tiny cameras that photograph the lining of the large bowel as it passes through. The images are sent to a recorder worn on a belt, and a doctor later reviews them and writes a report. It is used to look at the colon when a standard scope examination is incomplete or not suitable.

Facilitymedian $1,202 · 10th–90th $851$2,1380%10%10th90th$1,202Professionalmedian $1,072 · 10th–90th $759$3,6310%10%20%10th90th$1,072$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
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$2,884.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,137.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,691.53
Typical High
$5,370.32
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,630.78
Typical High
$5,370.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$2,089.30
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,344.23
Typical High
$5,011.87