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Unlisted Keyhole Operation On The Food Pipe

South Dakota 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 $4,365 · 10th–90th $3,548$4,4670%20%10th90th$4,365Professionalmedian $8,318 · 10th–90th $3,631$8,3180%50%10th$8,318$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,302.69