| CPT | Procedure | Price |
|---|---|---|
| 45378 | colonoscopy, flexible, proximal to splenic flexure | $2,499.00 |
| 45379 | w/removal of foreign body | $2,840.00 |
| 45380 | w/biopsy, single or multiple | $3,070.00 |
| 45382 | w/control bleeding | $3,257.00 |
| 45383 | w/ablation of tumors, polyps, or lesions not removed fy snare, ht bx, bipolar or laser | $3,257.00 |
| 45384 | w/removal of tumors, polyps, or lesions, by ht bx, or bipolar cauthery | $3,257.00 |
| 45385 | w/removal of tumors, polyps or lesions by snare | $3,257.00 |
| 45388 | sigmoidoscopy thru stoma w/removal tumors or polyps | $2,499.00 |
| 45390 | endoscopic mucosal resection | $4,885.50 |
| 45910 | dilation of rectal stricture | $999.00 |
| g0121 | screening colonoscopy for individuals not at high risk | $2,499.00 |
| g0105 | screening colonoscopy for individuals at high risk | $2,499.00 |
| 44392 | colon thru stoma w/removal of lesion, hot biopsy or cautery | $2,465.00 |
| 45331 | flexible sigmoidoscopy w/biopsy | $2,465.00 |
| 45381 | colon w/injection | $3,070.00 |
| 45386 | colon w/dilation by balloon - 1 or more strictures | $3,032.00 |
| 45339 | sigmoidoscopy w/ablation of tumors | $2,614.00 |
| 45338 | sigmoidoscopy w/removal of tumors by snare | $2,614.00 |
| 45330 | sigmoidoscopy | $2,047.00 |
| 45335 | sigmoidoscopy w/submucosal injection any substance | $2,614.00 |
| 44388 | colonoscopy thru stoma | $2,499.00 |
| 44389 | colonoscopy thru stoma w/biopsy | $3,070.00 |
| 44394 | colonoscopy thru stoma w/snare | $3,070.00 |
Dilations of Esophagus
| CPT | Procedure | Price |
|---|---|---|
| 43450 | by unguided sound or bougie, single, or multiple passes | $999.00 |
| 43453 | over guidewire | $999.00 |
| 43456 | by balloon or dilators retrograde | $999.00 |
| 43458 | w/balloon(greater than/equal to 30mm for achalasia | $999.00 |
Esophagogastroduodenoscopy
| CPT | Procedure | Price |
|---|---|---|
| 43235 | egd w/ or w/o specimen coll by brush or wash | $2,499.00 |
| 43239 | egd w/bx, single or multiple | $2,840.00 |
| 43241 | w/transendoscopic tube or cath placement | $3,180.00 |
| 43243 | w/injection sclerosis of esph 7/or gastric varices | $3,412.00 |
| 43244 | w/band ligation of esoph &/or gastric varices | $3,412.00 |
| 43245 | w/dilation of gastric outlet obs. any method | $3,257.00 |
| 43246 | w/placement of gastro tube | $3,638.00 |
| 43247 | w/removal of foreign body | $3,180.00 |
| 43248 | endoscopy to duodenum, insertion of guidewire and dil over wire | $3,180.00 |
| 43250 | w/removal of tumors, polyps, or other lesions by hot bx or bipolar cautery | $3,029.00 |
| 43251 | w/removal of tumors, polyps, or other lesions by snare | $3,070.00 |
| 43255 | w/removal of tumors, polyps, or other lesions by snare | $3,070.00 |
| 43258 | w/removal of tumors, polyps, or other lesions by snare | $3,070.00 |
| CPT | bipolar,cautery, snare technique or laser | $3,070.00 |
| 44386 | egd thru pouch | $3,070.00 |
| 44360 | enteroscopy | $2,583.00 |
| 43200 | esophagoscopy | $2,499.00 |
| 45335 | flexible sigmoidoscopy w/injection | $2,314.00 |
| 44382 | ileoscopy thru stoma w/biopsy | $3,075.00 |
| 44380 | iileoscopy thru stoma | $2,047.00 |
| 44385 | pouchoscopy | $2,047.00 |
| 43249 | egd w/balloon dilation (less than 30 mm) | $3,180.00 |
| 43236 | egd w/submucosal injection | $2,791.00 |
| 43202 | esophagoscopy w/ biopsy | $3,070.00 |
| 43220 | esophagoscopy w/balloon dilation | $3,180.00 |
| 43226 | esophagoscopy w/balloon dilation | $3,180.00 |