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Esophagus Birth Defect Repair, Chest Approach

Florida 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 $6,457 · 10th–90th $1,230$23,4420%10%10th90th$6,457Professionalmedian $1,585 · 10th–90th $1,288$2,8840%20%10th90th$1,585$50.0$200.0$1.0K$5.0K$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
$1,230.27
Median
$4,897.79
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$2,951.21
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$5,495.41
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,949.84
Typical High
$3,235.94
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$23,442.29
Typical High
$34,673.69
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,513.56
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,884.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,584.89