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Unlisted Keyhole Operation On The Food Pipe

Washington 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 $12,882 · 10th–90th $3,548$26,3030%10%10th90th$12,882Professionalmedian $1,905 · 10th–90th $50$8,1280%20%10th90th$1,905$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
$3,388.44
Median
$11,748.98
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$4,265.80
Typical High
$8,128.31
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$17,782.79
Typical High
$31,622.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$954.99
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$6,309.57
Typical High
$23,988.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$14,125.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$17,378.01
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$17,782.79
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57