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Esophagus Birth Defect Repair, Chest Approach

South Carolina 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 $2,344 · 10th–90th $1,514$9,1200%10%10th90th$2,344Professionalmedian $1,585 · 10th–90th $1,349$2,8180%20%10th90th$1,585$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,187.76
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$3,801.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$2,630.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$5,888.44
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,951.21