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Rigid Food Pipe Scope With Biopsy

New York rates for HCPCS 43193

Examines the food pipe using a straight, rigid scope passed through the mouth, and takes one or more small tissue samples from the lining for laboratory examination. The rigid instrument gives a wide working channel, which suits taking samples and working on the upper food pipe. It is done under general anesthesia.

Facilitymedian $3,548 · 10th–90th $309$7,9430%10%10th90th$3,548$50.0$200.0$1.0K$5.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$2,951.21
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,772.37
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,258.93
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$288.40
Typical High
$50,118.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$575.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$7,244.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$323.59