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Virginia 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 $269 · 10th–90th $83–$5,2480%5%10th90th$269Professionalmedian $200 · 10th–90th $72–$3890%5%10%10th90th$200$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
$125.89 / $2,570.40 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $199.53 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $186.21 / $354.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $83.18 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $213.80 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $295.12 / $489.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $467.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $218.78 / $416.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $616.60
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $870.96
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,511.89 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $165.96 / $354.81