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Capsule Camera Study Of The Colon

Virginia 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 $977 · 10th–90th $148$1,7780%10%10th90th$977Professionalmedian $977 · 10th–90th $759$1,6220%10%20%10th90th$977$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$933.25
Median
$933.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,778.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$891.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$954.99
Typical High
$1,819.70
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,047.13
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$891.25
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,041.74