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Arizona rates for HCPCS 91113

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,122.02 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $741.31 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,819.70