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Pennsylvania rates for HCPCS 43282

Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh

Facilitymedian $7,244 · 10th–90th $1,778$23,9880%10%10th90th$7,244$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,737.80 / $7,244.36 / $23,988.33
Aetna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $13,803.84 / $72,443.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $794.33 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $24,547.09 / $53,703.18
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$50,118.72 / $50,118.72 / $50,118.72
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,220.18 / $34,673.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,570.88 / $14,454.40
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,698.24 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,025.60 / $33,884.42