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Deep Small Bowel Scope With Tissue Sample

New Hampshire 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 $1,738 · 10th–90th $234$9,7720%10%20%10th90th$1,738$100.0$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
$100.00
Median
$2,398.83
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$346.74