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Closing Off The Stomach Junction For A Leak

Indiana rates for HCPCS 43405

Surgery that closes off the junction between the food pipe and the stomach with stitches or staples, so that stomach contents can no longer reach a hole in the wall of the food pipe. It keeps the leak clean and dry while the damaged area heals. Nutrition is given another way until the junction can be reopened or the leak has sealed.

Facilitymedian $18,197 · 10th–90th $2,399$25,7040%10%10th90th$18,197Professionalmedian $1,549 · 10th–90th $1,288$2,6920%20%10th90th$1,549$200.0$500.0$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
$1,513.56
Median
$2,344.23
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,548.82
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$19,952.62
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,584.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,819.70
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,511.89