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Rigid Food Pipe Scope With Biopsy

West 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.

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $166$2,5700%20%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$165.96
Median
$186.21
Typical High
$2,570.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$263.03
Typical High
$263.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$5,370.32