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Rigid Esophagus Scope With Balloon Widening

South Dakota 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 $339 · 10th–90th $174$4,3650%10%20%10th90th$339Professionalmedian $316 · 10th–90th $229$3980%10%20%10th90th$316$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
$173.78
Median
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$7,943.28