1. Upper stomach-intestine scope, simple (CPT 43234)
– average sub charge: $817
– average allow charge $303
– average payment: $237
2. Upper stomach-intestine scope for diagnosis (CPT 43235)
– average sub charge: $1,064
– average allow charge $318
– average payment: $249
3. Stomach-intestine scope, inject intestine wall (CPT 43236)
– average sub charge: $1,218
– average allow charge $343
– average payment: $271
4. Upper stomach-intestine scope for biopsy (CPT 43239)
– average sub charge: $1,406
– average allow charge $424
– average payment: $334
5. Stomach-intestine scope ultrasound guided biopsy (CPT 43242)
– average sub charge: $1,959
– average allow charge $443
– average payment: $352
6. Stomach-intestine scope for foreign body removal (CPT 43247)
– average sub charge: $1,405
– average allow charge $421
– average payment: $331
7. Stomach-intestine scope with ultrasound exam (CPT 43259)
– average sub charge: $2,018
– average allow charge $508
– average payment: $402
8. Scope of upper small intestine (CPT 44360)
– average sub charge: $1,468
– average allow charge $433
– average payment: $343
9. Scope of upper small intestine with biopsy (CPT 44361)
– average sub charge: $1,409
– average allow charge $414
– average payment: $327
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.