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New York rates for HCPCS 43325

Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)

Facilitymedian $5,623 · 10th–90th $1,778$12,0230%10%10th90th$5,623Professionalmedian $1,660 · 10th–90th $1,175$3,9810%20%10th90th$1,660$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
$1,659.59 / $3,162.28 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,513.56 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,318.26 / $2,630.27
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,344.23 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,905.46 / $5,011.87
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,995.26 / $5,011.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,949.84 / $3,019.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,698.24 / $2,818.38
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,819.70 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,981.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,238.72 / $14,454.40
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,621.81 / $4,897.79
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,621.81 / $3,388.44