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Montana 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
$794.33 / $1,023.29 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $66,069.34 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $2,511.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $1,819.70