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Capsule Camera Study Of The Colon

Ohio 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 $912 · 10th–90th $813$1,5850%20%10th90th$912Professionalmedian $955 · 10th–90th $776$1,5850%10%20%10th90th$955$10.0$50.0$200.0$1.0K$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
$812.83
Median
$912.01
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,819.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$660.69
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$2,041.74
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$67.61
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$1,000.00
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,905.46