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Rigid Esophagus Scope With Balloon Widening

Maryland 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 $832 · 10th–90th $437$1,7780%10%20%10th90th$832Professionalmedian $182 · 10th–90th $138$2820%20%10th90th$182$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$831.76
Median
$831.76
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,995.26
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,445.44