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Pennsylvania 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 $2,570 · 10th–90th $437–$7,7620%5%10%10th90th$2,570Professionalmedian $209 · 10th–90th $71–$4470%10%20%10th90th$209$1.0$10.0$100.0$1.0K$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
$478.63 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $204.17 / $426.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $724.44 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $208.93 / $371.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $338.84 / $489.78
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $912.01
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $239.88 / $398.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $1,122.02 / $3,630.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $263.03
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,819.70 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $213.80 / $562.34
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $588.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $309.03 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $208.93 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,041.74 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $173.78 / $338.84