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Closing Off The Stomach Junction For A Leak

Wisconsin 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.

Rates data updated July 2026.

How much does Closing Off The Stomach Junction For A Leak cost?

$2,512

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $9,120 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 11 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,089$1,479 to $3,981
FacilityA hospital or hospital-owned outpatient department$9,120$4,786 to $13,183

How much rates vary

Facilitymedian $9,120 · 10th to 90th $1,549 to $18,197Professionalmedian $2,089 · 10th to 90th $1,349 to $6,166
$100.0$1.0K$10.0Kfacility $9,120professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,818.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$20,892.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,630.27
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$3,630.78
Typical High
$5,754.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,778.28
Typical High
$8,912.51
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$4,786.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$10,471.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,818.38
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,818.38
Typical High
$5,128.61
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$2,691.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,311.31
Typical High
$5,128.61
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$8,912.51
Typical High
$8,912.51
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$6,760.83
Typical High
$10,232.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,754.40
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,370.32
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$5,623.41

Where Wisconsin sits

The same service costs 2.2 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $2,512 · 6th of 51
AK $3,236KY $1,445

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.