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Esophagus Birth Defect Repair, Chest Approach

Washington 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 $2,884 · 10th–90th $1,660$10,2330%5%10%10th90th$2,884Professionalmedian $1,950 · 10th–90th $1,349$3,6310%10%10th90th$1,950$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
$2,691.53
Median
$3,715.35
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$3,548.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,818.38
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,290.87
Typical High
$4,365.16
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,398.83
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$630.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,754.23
Typical High
$2,884.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,168.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$3,801.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,818.38