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Deep Small Bowel Scope With Tissue Sample

Wisconsin 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.

Facilitymedian $4,169 · 10th–90th $575$6,9180%10%10th90th$4,169Professionalmedian $617 · 10th–90th $339$1,0960%10%20%10th90th$617$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
$323.59
Median
$602.56
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,570.88
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,412.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$4,897.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,890.45
Typical High
$4,570.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$954.99
Quartz
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$4,897.79
Typical High
$4,897.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,760.83