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Capsule Camera Study Of The Colon

Wisconsin 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 $1,175 · 10th–90th $813$3,9810%10%20%10th90th$1,175Professionalmedian $1,096 · 10th–90th $832$2,9510%10%20%10th90th$1,096$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
$977.24
Median
$977.24
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,884.03
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,344.23
Typical High
$3,090.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,698.24
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,318.26
Typical High
$2,238.72
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,290.87
Typical High
$3,388.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$3,548.13
Typical High
$5,888.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$1,047.13
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$3,311.31