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Virginia rates for HCPCS 44365

Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

Facilitymedian $372 · 10th–90th $195–$6,9180%10%10th90th$372Professionalmedian $219 · 10th–90th $158–$3890%10%10th90th$219$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $870.96 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $186.21 / $380.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $275.42 / $416.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $407.38
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $239.88 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,754.23 / $5,370.32