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Neck Food Pipe Repair With Intestine Transfer

South Dakota rates for HCPCS 43116

Removes a diseased section of the esophagus in the neck and replaces it with a short piece of the patient's own intestine. The transferred segment is sewn in at both ends, and its small artery and vein are reconnected to vessels in the neck under a microscope so that the transplanted piece stays alive.

Facilitymedian $4,365 · 10th–90th $3,548$10,7150%20%40%10th90th$4,365Professionalmedian $5,754 · 10th–90th $4,266$11,2200%10%10th90th$5,754$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
$4,265.80
Median
$4,265.80
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,897.79
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$13,182.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$8,317.64
Typical High
$35,481.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$11,220.18
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$7,585.78
Typical High
$12,882.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$11,481.54
Typical High
$11,481.54