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Unlisted Keyhole Operation On The Food Pipe

Michigan rates for HCPCS 43289

Covers a keyhole operation on the food pipe, performed with a camera and instruments through small abdominal incisions, for which there is no standard named service. The surgeon submits a written report describing exactly what was done. It is used only when no named keyhole procedure on the food pipe matches the work performed.

Rates data updated July 2026.

Facilitymedian $4,898 · 10th–90th $4,074$8,1280%20%10th90th$4,898Professionalmedian $3,236 · 10th–90th $2,884$4,1690%20%10th90th$3,236$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,897.79
Typical High
$8,511.38
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,943.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57