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New Mexico 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 $316 · 10th–90th $98–$3,4670%5%10%10th90th$316Professionalmedian $191 · 10th–90th $71–$3630%5%10%10th90th$191$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$104.71 / $380.19 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,884.03 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $190.55 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $223.87 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $295.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $229.09 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $234.42 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $3,235.94 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $199.53 / $407.38