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Esophagus Birth Defect Repair, Chest Approach

Idaho 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 $2,692 · 10th–90th $1,585$5,4950%10%10th90th$2,692Professionalmedian $1,905 · 10th–90th $1,380$3,2360%10%10th90th$1,905$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
$4,466.84
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$3,548.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,754.40
Typical High
$6,918.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$2,818.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$4,073.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,818.38
Typical High
$3,090.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,288.25
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$2,951.21