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Capsule Camera Study Of The Colon

Montana 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 $1,585 · 10th–90th $1,148$3,1620%20%10th90th$1,585Professionalmedian $1,202 · 10th–90th $832$2,1380%10%10th90th$1,202$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$66,069.34
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$2,630.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,737.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$2,398.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$1,905.46