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Rigid Esophagus Scope With Balloon Widening

Utah 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 $3,715 · 10th–90th $1,698$6,0260%10%20%10th90th$3,715Professionalmedian $269 · 10th–90th $178$4070%10%20%10th90th$269$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
$245.47
Median
$3,715.35
Typical High
$4,897.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,413.10
Typical High
$11,481.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$7,943.28