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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Texas 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 $1,698 · 10th–90th $224$6,0260%5%10th90th$1,698$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
$630.96
Median
$2,511.89
Typical High
$7,585.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$3,388.44
Christus
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$831.76
Typical High
$1,071.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$19,498.45
Typical High
$19,498.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,995.26
Typical High
$3,981.07