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Scope Exam of Surgically Created Intestinal Pouch

Kentucky rates for HCPCS 44385

A diagnostic exam using a flexible scope to inspect an intestinal pouch created by earlier surgery, such as a Kock-type pouch. Collection of a specimen, when performed, is included, and the listed price applies when the exam is performed on its own.

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $257$3,3880%5%10%10th90th$1,950Professionalmedian $178 · 10th–90th $71$3020%10%10th90th$178$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
$89.13
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$173.78
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$181.97
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$234.42
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$173.78
Typical High
$338.84