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Rigid Food Pipe Scope With Biopsy

Virginia 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 $324 · 10th–90th $182$5,8880%10%10th90th$324Professionalmedian $178 · 10th–90th $145$3890%20%10th90th$178$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$194.98
Median
$3,235.94
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$346.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,754.23
Typical High
$5,370.32