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See a sample rate comparisonCPT 43757 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Duodenal Intubation And Aspiration Diagnostic Includes Image Guidance; Single Specimen (Eg Bile Study For Crystals Or Afferent Loop Culture) Collection Of Mulitple Fractional Specimens With Pancreatic Or Gallbladder Stimulation Single Or Double Lumen Tube Includes Drug Administration
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $407.83 national non-facility rate (2026) · View Medicare rates for 43757 |
| Medicaid Fee Schedule | $319.345 median of the 8 states in the free preview · View Medicaid rates for 43757 |
National average reimbursement for CPT 43757 by major payers:
$396.39
$434.13
$478.76
$184.16
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CPT 43757
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedics Ltd, Dba Landmark Surgery Center
Summit Orthopedics, Ltd.
$2,701.00Published rateShawnee Mission Prairie Star Surgery Center LLC, Adventhealth Surgery Center Lenexa
Shawnee Mission Prairie Star Surgery Center LLC
$1,976.00Published rateGainesville Endoscopy Center, LLC
Gainesville Endoscopy Center LLC
$1,179.00Published rateUrology Surgery Center Of Savannah, Lllp, Urology Surgery Center, LLP
Urology Surgery Center Of Savannah Lllp
$725.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$197.00Published rate
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See a sample payer proposalCPT 43757 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43757 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43757 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43752-CPT | Low | Nasal Orogastric W Tube Plmt, Naso Or Oro Gastric Tube Placement Requiring Physician S Skill And Fluoroscopic Guidance Includes Fluoroscopy Image Documentation And Report |
| 43756-CPT | Moderate | Intestinal Fluid Collection, This Procedure Collects One Or More Samples Of Intestinal Fluid Through A Tube Inserted Down The Throat (Intubation). Bile Secretion May Be Stimulated By Injecting A Substance Through An Iv. |
| 43757-CPT | Moderate | Duodenal Intubation And Aspiration Diagnostic Includes Image Guidance; Single Specimen (Eg Bile Study For Crystals Or Afferent Loop Culture) Collection Of Mulitple Fractional Specimens With Pancreatic Or Gallbladder Stimulation Single Or Double Lumen Tube Includes Drug Administration |
| 43761-CPT | Low | Rposition Of A Naso- Or Oro-Gastric Feed Tube Through Duod, Repositioning Of A Naso- Or Oro-Gastric Feeding Tube Through The Duod |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43757. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43757 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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