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Open Biopsy of the Stomach

Illinois rates for HCPCS 43605

A sample of the stomach wall is taken for examination under a microscope through an incision in the abdomen. It is used when the area cannot be sampled adequately with a scope passed down through the mouth, or when the abdomen is already open for another reason. The stomach is closed again once the sample is taken.

Facilitymedian $3,236 · 10th–90th $1,023$9,7720%5%10%10th90th$3,236Professionalmedian $1,514 · 10th–90th $851$4,6770%10%10th90th$1,514$100.0$500.0$2.0K$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
$933.25
Median
$3,090.30
Typical High
$8,511.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$9,772.37
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$4,677.35
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,548.13
Typical High
$6,025.60