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Esophagus Birth Defect Repair, Chest Approach

Maryland 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 $447 · 10th–90th $302$1,3490%10%10th90th$447Professionalmedian $1,622 · 10th–90th $1,349$2,9510%20%10th90th$1,622$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
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$3,019.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,951.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,089.30