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Capsule Camera Study Of The Colon

Kentucky 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 $851 · 10th–90th $155$1,3180%20%10th90th$851Professionalmedian $871 · 10th–90th $661$1,2590%10%20%10th90th$871$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
Global
Typical Low
$851.14
Median
$851.14
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$741.31
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$75.86
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$891.25
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,819.70