Service Description CPT Code Charge Type PrimaryCare Practice Price
ESOPHAGOMYOTOMY(HELLER),ABDOMINAL APPROACH PP 43330 Prof $2850.00
ESOPHAGOMYOTOMY,THORACIC APPROACH PP 43331 Prof $2912.00
ESOPHAGOPLASTY (PLASTIC REPAIR/RECONSTRUCTION),CERVICAL APPROACH PP 43300 Prof $1338.00
ESOPHAGOPLASTY,CERVICAL APP,REPAIR TRACHESOPHAGEAL FISTULA PP 43305 Prof $2371.00
ESOPHAGOPLASTY,THORACIC APP,WO REPAIR TRACHESOPHAGEAL FISTULA PP 43310 Prof $3224.00
ESOPHAGOSCOPY,BALLOON DILATION,<30MM DIA PP 43220 Prof $285.00
ESOPHAGOSCOPY,DIAG,W DIRECTED SUBMUCOSOSAL INJ,ANY SUBST PP 43201 Prof $249.00
ESOPHAGOSCOPY,DIAGNOSTIC PP 43200 Prof $213.00
ESOPHAGOSCOPY,FLEX,TRANSNASAL,DIAGNOSTIC PP 43197 Prof $173.00
ESOPHAGOSCOPY,FLEX,TRANSNASAL,W/BIOPSY PP 43198 Prof $206.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,REMOVAL,TUMOR/POLYPS/LESIONS,HOT BX FORCEPS 43216 Prof $313.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W ABLATION TUMOR/POLYP/LESIONS PP 43229 Prof $450.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/BAND LIGATION,ESOPHAGEAL VARICES PP 43205 Prof $326.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/CONTROL BLEEDING PP 43227 Prof $395.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/DILATION ESOPHAGUS =>30 PP 43214 Prof $426.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/DILATION ESOPHAGUS,RETROGRADE PP 43213 Prof $605.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/ENDOSCOPIC MUCOSAL RESECTION PP 43211 Prof $530.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/ENDOSCOPIC STENT PLACE PP 43212 Prof $430.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/INJ OF SCLEROSIS,ESOPHAGEAL VARICES PP 43204 Prof $315.00
ESOPHAGOSCOPY,FLEX,TRANSORAL,W/OPTICAL ENDOMICROSCOPY PP 43206 Prof $311.00
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