43233

CPT/HCPCS

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 3.0 cm or more

Physician Fee Schedule

Facility

Medicare Payment

$209.78

Submitted Charge$1,172.71
Medicare Allowed$267.77
Providers526
Beneficiaries999
Total Services1,159
Office

Medicare Payment

$181.80

Submitted Charge$2,902.67
Medicare Allowed$227.59
Providers6
Beneficiaries16
Total Services19