| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.52 | $803.00 | $2,812.00 | |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $918.80 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |
Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.52 | $803.00 | $2,812.00 | |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $918.80 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |