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Cutting The Lower Food Pipe Muscle Through A Scope

South Dakota rates for HCPCS 43497

Treats a food pipe that will not relax at its lower end by working entirely through a scope passed in through the mouth. The surgeon tunnels within the wall of the food pipe and divides the tight muscle ring from the inside, so swallowed food can pass into the stomach. No incisions are made on the outside of the body.

Facilitymedian $1,585 · 10th–90th $741$4,3650%20%10th90th$1,585Professionalmedian $1,318 · 10th–90th $977$1,6980%20%10th90th$1,318$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
$741.31
Median
$1,584.89
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$12,302.69