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Texas rates for HCPCS 43281

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

Facilitymedian $4,898 · 10th–90th $1,585–$15,8490%5%10th90th$4,898$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,584.89 / $5,011.87 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $12,589.25 / $25,118.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $5,128.61 / $28,183.83
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $8,912.51 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,513.56 / $8,709.64
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,187.76 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,949.84 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $7,762.47 / $15,848.93