43195

CPT/HCPCS

Balloon dilation of esophagus using a rigid endoscope, less than 3.0 cm

Physician Fee Schedule

Facility

Medicare Payment

$184.84

Submitted Charge$954.92
Medicare Allowed$234.35
Providers268
Beneficiaries541
Total Services642
Office

Medicare Payment

$125.66

Submitted Charge$1,081.51
Medicare Allowed$157.46
Providers10
Beneficiaries19
Total Services21