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North Carolina rates for HCPCS 43281

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

Facilitymedian $8,511 · 10th–90th $1,514–$12,5890%10%20%10th90th$8,511Professionalmedian $2,692 · 10th–90th $2,692–$2,6920%50%100%$2,692$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $8,912.51 / $12,589.25
Aetna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,120.11 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,819.70 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $10,232.93 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $28,840.32 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03