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Esophagus Birth Defect Repair, Chest Approach

Washington, DC rates for HCPCS 43310

Surgical correction of a birth defect in which the esophagus does not form as a single, continuous passage, performed through an incision in the chest rather than the neck. This version does not include repair of an abnormal connection between the esophagus and the windpipe.

Facilitymedian $2,138 · 10th–90th $1,413$7,7620%20%10th90th$2,138Professionalmedian $1,660 · 10th–90th $1,380$3,0200%20%10th90th$1,660$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
$1,698.24
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$3,019.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,949.84
Typical High
$4,073.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,513.56
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,380.38
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$3,235.94