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Esophagus Birth Defect Repair, Chest Approach

Rhode Island 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 $3,631 · 10th–90th $603$6,6070%10%10th90th$3,631Professionalmedian $1,585 · 10th–90th $1,318$2,3990%10%20%10th90th$1,585$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,905.46
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,238.72
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$3,090.30