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Deep Small Bowel Scope With Tissue Sample

Missouri 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 $1,698 · 10th–90th $457$4,8980%5%10th90th$1,698$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
$323.59
Median
$2,511.89
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$2,187.76
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,621.81
Typical High
$3,019.95