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Esophagus Birth Defect Repair, Chest Approach

Massachusetts 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 $2,818 · 10th–90th $1,148$5,6230%10%10th90th$2,818Professionalmedian $1,862 · 10th–90th $1,413$3,8900%10%20%10th90th$1,862$100.0$500.0$2.0K$10.0K$50.0K

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
$1,412.54
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$3,548.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$9,120.11
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$3,981.07
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$2,691.53
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$3,715.35
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$9,120.11
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,344.23
Typical High
$4,265.80