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Ohio 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 $2,455 · 10th–90th $224$9,5500%10%10th90th$2,455Professionalmedian $191 · 10th–90th $72$3720%10%20%10th90th$191$1.0$5.0$20.0$100.0$500.0$2.0K$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
$204.17 / $2,630.27 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $199.53 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,949.84 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $173.78 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $616.60
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $457.09 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $213.80 / $407.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $501.19 / $1,621.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $218.78 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $69.18
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $575.44
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $194.98 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,238.72 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $158.49 / $316.23