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Rigid Esophagus Scope With Balloon Widening

New Jersey 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 $5,888 · 10th–90th $3,388$10,4710%10%10th90th$5,888$100.0$500.0$2.0K$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
$4,073.80
Median
$5,888.44
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$2,754.23
Typical High
$3,630.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,011.87
Typical High
$8,511.38