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North Carolina rates for HCPCS 44385

Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $288 · 10th–90th $83–$1,6600%5%10th90th$288Professionalmedian $251 · 10th–90th $83–$5890%5%10th90th$251$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $891.25 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $208.93 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $676.08 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $354.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $229.09 / $467.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $213.80 / $398.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,398.83 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $181.97 / $354.81
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26