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Keyhole Muscle Release of the Lower Food Pipe

Wisconsin rates for HCPCS 43279

A keyhole operation through small abdominal incisions in which the tight muscle ring at the junction of the food pipe and the stomach is cut lengthways so food and drink can pass through. It treats a swallowing disorder in which that muscle fails to relax, leaving food stuck and coming back up. A wrap of the top of the stomach is added when needed to reduce acid reflux afterwards.

Facilitymedian $15,136 · 10th–90th $1,995$28,8400%10%10th90th$15,136Professionalmedian $2,818 · 10th–90th $1,549$4,4670%10%10th90th$2,818$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
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$4,466.84
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$17,378.01
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$10,715.19
Typical High
$17,378.01
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,818.38
Typical High
$4,365.16
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$11,481.54
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$218.78
Median
$316.23
Typical High
$1,148.15
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,489.63
Typical High
$16,595.87