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Esophagus Birth Defect Repair, Chest Approach

Montana 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 $2,512 · 10th–90th $1,778$3,0900%20%40%10th90th$2,512Professionalmedian $1,698 · 10th–90th $1,349$3,5480%20%10th90th$1,698$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,548.82
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$4,365.16
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,818.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,187.76
Typical High
$3,715.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,290.87
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,467.37