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New York rates for HCPCS 43279

Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed

Facilitymedian $7,079 · 10th–90th $1,778–$16,5960%10%10th90th$7,079$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,623.41 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,964.78 / $19,054.61
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,467.37 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,187.76 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,137.96 / $4,677.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,165.95 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,513.56 / $3,388.44