| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.45 | $1,040.00 | $3,200.67 | |
BCBS
| Facility | $501.77 | $501.77 | $501.77 | |
Cigna
| Facility | $415.00 | $443.02 | $1,373.51 | |
United
| Facility | $575.00 | $1,305.00 | $3,191.00 |
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 | $284.45 | $1,040.00 | $3,200.67 | |
BCBS
| Facility | $501.77 | $501.77 | $501.77 | |
Cigna
| Facility | $415.00 | $443.02 | $1,373.51 | |
United
| Facility | $575.00 | $1,305.00 | $3,191.00 |