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Esophagus Birth Defect Repair, Chest Approach

South Dakota 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 $1,995 · 10th–90th $1,288$4,3650%20%10th90th$1,995Professionalmedian $1,778 · 10th–90th $1,288$3,3110%20%10th90th$1,778$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
$1,288.25
Median
$1,288.25
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$10,715.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$3,801.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,467.37
Typical High
$3,467.37