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Rigid Esophagus Scope With Balloon Widening

Washington, DC rates for HCPCS 43195

A rigid, non-bending scope is passed through the mouth into the esophagus, and a balloon is inflated inside a narrowed section to stretch it open. Widening the passage makes swallowing easier when scarring or a tight ring has narrowed the food pipe. General anesthesia is normally used because of the rigid scope.

Facilitymedian $4,074 · 10th–90th $214$7,7620%20%10th90th$4,074Professionalmedian $174 · 10th–90th $166$3720%50%10th90th$174$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$25,118.86