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Capsule Camera Study Of The Colon

Nebraska 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 $1,549 · 10th–90th $871$2,6920%10%10th90th$1,549Professionalmedian $1,047 · 10th–90th $851$2,0420%20%10th90th$1,047$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
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,348.96
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,862.09
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$1,148.15
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,238.72