Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,570.40 / $7,762.47
Facility
$323.59
$2,570.40
$7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,630.78 / $9,120.11
Facility
$1,348.96
$3,630.78
$9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $588.84 / $1,380.38
Facility
$151.36
$588.84
$1,380.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,344.23 / $5,754.40
Facility
$676.08
$2,344.23
$5,754.40
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