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Esophagus Birth Defect Repair, Chest Approach

New Jersey 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 $6,761 · 10th–90th $2,512$11,7490%10%20%10th90th$6,761Professionalmedian $1,660 · 10th–90th $1,318$3,1620%10%20%10th90th$1,660$100.0$500.0$2.0K$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
$4,365.16
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,949.84
Typical High
$3,715.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$2,951.21
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$3,090.30