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Esophagus Birth Defect Repair, Neck Approach

North Dakota rates for HCPCS 43300

Surgical correction of a birth defect in which the esophagus - the tube connecting the throat to the stomach - does not form as a single, continuous passage, performed through an incision in the neck. This version does not include repair of an abnormal connection between the esophagus and the windpipe, which if present is addressed separately.

Facilitymedian $617 · 10th–90th $589$8,5110%50%10th90th$617Professionalmedian $851 · 10th–90th $575$1,6220%10%20%10th90th$851$500.0$1.0K$2.0K$5.0K$10.0K

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
$588.84
Median
$616.60
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,202.26
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,445.44