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Scope Removal of Food Pipe Lining Tissue

Wisconsin rates for HCPCS 43211

A flexible scope is passed through the mouth into the food pipe and an abnormal patch of the lining is lifted away from the wall beneath it, usually by injecting fluid underneath, then cut free and retrieved. It is used for early growths or precancerous change confined to the surface layer. The tissue removed is sent for laboratory examination to check the depth and the edges.

Facilitymedian $4,169 · 10th–90th $479$6,9180%10%10th90th$4,169Professionalmedian $490 · 10th–90th $269$8510%10%20%10th90th$490$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
$257.04
Median
$478.63
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,570.88
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,122.02
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$354.81
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
$269.15
Median
$489.78
Typical High
$758.58
Quartz
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$3,311.31
Typical High
$4,897.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,760.83