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Pennsylvania rates for HCPCS 43280

Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)

Facilitymedian $6,607 · 10th–90th $1,148–$20,8930%10%10th90th$6,607$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
$1,148.15 / $6,606.93 / $17,782.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $794.33 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $21,379.62 / $47,863.01
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,570.88 / $11,481.54
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,025.60 / $33,884.42