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Removal of a Pouch From the Esophagus

Nebraska rates for HCPCS 43135

Surgery that removes a pouch which has ballooned out through the wall of the esophagus, the tube carrying food from the throat to the stomach. The tight muscle below the pouch, which drove it to form in the first place, is commonly divided during the same operation.

Facilitymedian $7,586 · 10th–90th $1,622$20,8930%10%20%10th90th$7,586Professionalmedian $1,585 · 10th–90th $1,288$3,5480%20%40%10th90th$1,585$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$2,691.53
Median
$7,943.28
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$20,892.96
Typical High
$40,738.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,754.23
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,089.30
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$10,471.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$4,466.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$1,905.46
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,466.84
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$3,548.13