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New Jersey 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 $5,248 · 10th–90th $2,291–$10,7150%10%20%10th90th$5,248Professionalmedian $200 · 10th–90th $69–$4070%5%10%10th90th$200$50.0$200.0$1.0K$5.0K$20.0K

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
$2,691.53 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $223.87 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $338.84 / $489.78
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,951.21 / $4,677.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $204.17 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,011.87 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $169.82 / $380.19