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Deep Small Bowel Scope With Tissue Sample

Michigan rates for HCPCS 44377

A long flexible scope is passed through the mouth and worked far down into the small intestine, well beyond the stomach and the first bends of the bowel that a standard upper examination reaches. Small pieces of tissue are taken from areas that look abnormal and sent for examination under a microscope. It is used to find the cause of bleeding, unexplained anemia, diarrhea or pain arising deep in the small bowel.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $380$5,0120%20%10th90th$2,884$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
$380.19
Median
$4,073.80
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$407.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$977.24
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,951.21
Typical High
$6,165.95