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Rigid Food Pipe Scope With Biopsy

Wisconsin 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 $4,169 · 10th–90th $347$6,9180%10%10th90th$4,169Professionalmedian $347 · 10th–90th $191$6030%10%10th90th$347$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
$186.21
Median
$346.74
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,570.88
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$812.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$5,248.07
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,570.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$537.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$3,311.31
Typical High
$4,897.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,760.83