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Deep Small Bowel Scope With Tissue Sample

Pennsylvania 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 $3,631 · 10th–90th $776$8,3180%5%10%10th90th$3,631$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$954.99
Median
$3,890.45
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,288.25
Typical High
$2,454.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,548.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,454.71
Typical High
$6,606.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,235.94
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,570.40
Typical High
$6,025.60