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New York rates for HCPCS 43285

Removal of esophageal sphincter augmentation device

Facilitymedian $6,026 · 10th–90th $1,230$12,0230%10%10th90th$6,026Professionalmedian $794 · 10th–90th $562$1,6220%20%10th90th$794$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
$1,000.00 / $5,128.61 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,317.64 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $1,288.25
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $13,803.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,148.15 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $977.24 / $2,511.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,174.90 / $2,691.53
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $977.24 / $1,513.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $891.25 / $1,412.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,025.60 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,047.13 / $1,862.09
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $794.33 / $1,047.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $794.33 / $1,548.82