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Removal of a Throat Pouch With a Rigid Scope

Georgia rates for HCPCS 43180

A straight, rigid scope is passed through the mouth to reach a pouch that has formed where the throat meets the esophagus, and the pouch is removed. The tight muscle at the top of the esophagus that caused the pouch is also divided so it cannot re-form. A telescope or operating microscope is used for magnification.

Facilitymedian $4,365 · 10th–90th $1,202$7,7620%5%10%10th90th$4,365Professionalmedian $631 · 10th–90th $490$1,9950%20%10th90th$631$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,862.09
Median
$4,570.88
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,630.78
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,230.27
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$3,235.94
Typical High
$6,165.95