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Esophagus Birth Defect Repair, Chest Approach

Texas 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 $1,000$6,9180%5%10th90th$2,344Professionalmedian $1,585 · 10th–90th $1,349$2,5700%20%10th90th$1,585$20.0$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
$1,000.00
Median
$3,715.35
Typical High
$12,882.50
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
$1,318.26
Median
$1,659.59
Typical High
$2,238.72
Christus
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$3,162.28
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$9,120.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$12,589.25
Typical High
$12,589.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$3,630.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,230.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$2,884.03
Typical High
$3,630.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,949.84
Typical High
$3,311.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,949.84
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,290.87
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,570.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$1,698.24