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Rigid Esophagus Scope With Balloon Widening

Illinois 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 $2,512 · 10th–90th $398$5,8880%5%10th90th$2,512Professionalmedian $490 · 10th–90th $200$9330%10%10th90th$490$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$346.74
Median
$2,290.87
Typical High
$5,888.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,786.30
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$3,630.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$489.78
Typical High
$933.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,090.30
Typical High
$5,128.61