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Unlisted Keyhole Operation On The Food Pipe

Utah 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 $6,026 · 10th–90th $3,162$10,2330%10%10th90th$6,026Professionalmedian $661 · 10th–90th $661$4,5710%20%40%90th$661$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
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,025.60
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$11,481.54
Typical High
$17,378.01
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84