EGD, flexible transoral with removal of tumor(s), polyp(s) or other lesion(s) with hot biopsy forceps or bipolar cautery (CPT 43250)
• Physician office payment: $466
• Physician facility payment: $187
• HOPD payment: $1,013
• ASC payment: $560
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum with removal of tumor(s), polyp(s) or other lesion(s) with hot biopsy forceps or bipolar cautery (CPT 44365)
• Physician office payment: $200
• Physician facility payment: $200
• HOPD payment: $1,233
• ASC payment: $681
Colonoscopy through stroma, with removal of tumor(s), polyp(s) or other lesion(s) with hot biopsy forceps or bipolar cautery (CPT 44392)
• Physician office payment: $446
• Physician facility payment: $226
• HOPD payment: $737
• ASC payment: $407
Proctosigmoidoscopy, rigid, with removal of single tumor, polyp or other lesion with hot biopsy forceps or bipolar cautery (CPT 45308)
• Physician office payment: $221
• Physician facility payment: $90
• HOPD payment: $779
• ASC payment: $431
Sigmoidoscopy, flexible, with removal of tumor(s), polyp(s) or other lesion(s) with hot biopsy forceps or bipolar cautery (CPT 45333)
• Physician office payment: $301
• Physician facility payment: $113
• HOPD payment: $461
• ASC payment: $255
Colonoscopy, flexible, proximal to splenic flexure, with removal of tumor(s), polyp(s) or other lesion(s) with hot biopsy forceps or bipolar cautery (CPT 45384)
• Physician office payment: $471
• Physician facility payment: $277
• HOPD payment: $737
• ASC payment: $407
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