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Esophagus Birth Defect Repair, Chest Approach

Maine 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 $22,387 · 10th–90th $19,953$30,2000%20%10th90th$22,387Professionalmedian $1,820 · 10th–90th $1,413$3,5480%10%20%10th90th$1,820$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$22,387.21
Typical High
$30,199.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,388.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$3,981.07
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$3,981.07