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New York rates for HCPCS 43336

Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis

Facilitymedian $5,623 · 10th–90th $1,820–$12,3030%10%10th90th$5,623Professionalmedian $1,820 · 10th–90th $1,318–$4,2660%20%10th90th$1,820$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
$1,819.70 / $3,311.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,621.81 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,317.64 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,445.44 / $2,884.03
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,467.37 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,454.71 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,137.96 / $5,370.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $5,370.32
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,089.30 / $3,235.94
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,819.70 / $2,951.21
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,089.30 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,981.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,344.23 / $12,882.50
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,698.24 / $3,548.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,698.24 / $3,467.37