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Esophagus Birth Defect Repair, Chest Approach

Utah 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 $4,169 · 10th–90th $2,042$6,0260%20%10th90th$4,169Professionalmedian $1,660 · 10th–90th $1,349$4,1690%20%10th90th$1,660$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,235.94
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$3,311.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,691.53
Typical High
$3,715.35
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,630.27