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Hiatal Hernia Repair With Mesh

Wisconsin rates for HCPCS 43333

Open surgery for a hernia at the diaphragm, where part of the stomach has pushed upward through the opening alongside the food pipe. The stomach is drawn back down, the widened gap is closed, and the repair is then reinforced with a mesh or similar patch; the top of the stomach is usually wrapped around the food pipe to control reflux.

Facilitymedian $11,482 · 10th–90th $2,042$19,4980%10%10th90th$11,482Professionalmedian $2,754 · 10th–90th $1,514$4,3650%10%10th90th$2,754$1.0K$2.0K$5.0K$10.0K$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
$1,318.26
Median
$2,454.71
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$5,754.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$9,332.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$7,585.78
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,454.71
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,754.23
Typical High
$4,265.80
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$11,220.18
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,760.83
Typical High
$19,498.45