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Esophagus Birth Defect Repair, Chest Approach

Michigan 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 $4,898 · 10th–90th $1,905$4,8980%50%10th$4,898Professionalmedian $1,622 · 10th–90th $1,380$2,4550%20%10th90th$1,622$100.0$200.0$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
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$2,398.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,981.07
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,365.16
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,884.03
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$2,630.27