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California rates for HCPCS 43281

Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh

Facilitymedian $11,749 · 10th–90th $3,631–$22,3870%10%10th90th$11,749Professionalmedian $1,514 · 10th–90th $1,259–$3,8020%20%40%10th90th$1,514$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
$3,981.07 / $10,964.78 / $23,442.29
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,803.84 / $22,387.21
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $8,912.51 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $11,748.98 / $14,791.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,513.56 / $2,041.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,513.56 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$281.84 / $281.84 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,905.46 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $13,489.63 / $28,840.32