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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Kansas rates for HCPCS 45342

A flexible scope carrying an ultrasound probe is passed through the anus into the lower large bowel, the ultrasound looks through the bowel wall at deeper structures, and a fine needle is passed under that guidance to draw cells from a target within or beyond the wall. It samples lesions and lymph nodes that a surface biopsy cannot reach. It is done with sedation.

Facilitymedian $2,692 · 10th–90th $363$7,5860%5%10th90th$2,692$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
$1,348.96
Median
$3,311.31
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,412.54
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$295.12
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$3,162.28