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Closing Off The Stomach Junction For A Leak

Texas 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 $2,239 · 10th–90th $1,000$6,9180%10%10th90th$2,239Professionalmedian $1,549 · 10th–90th $1,318$2,5120%20%40%10th90th$1,549$10.0$50.0$200.0$1.0K$5.0K

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
$1,000.00
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,548.82
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$2,238.72
Christus
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,819.70
Typical High
$3,019.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$8,912.51
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$12,302.69
Typical High
$12,302.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$3,548.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,230.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$2,818.38
Typical High
$3,630.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$3,162.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,819.70
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,290.87
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,454.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$1,698.24