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Esophagus Birth Defect Repair, Chest Approach

Wisconsin 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 $9,772 · 10th–90th $2,138$18,1970%5%10%10th90th$9,772Professionalmedian $1,778 · 10th–90th $1,380$5,1290%10%20%10th90th$1,778$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
$1,548.82
Median
$2,884.03
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,548.82
Typical High
$2,951.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$19,054.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$5,888.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,187.76
Typical High
$8,912.51
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,187.76
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,691.53
Typical High
$10,715.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,884.03
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$5,248.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,311.31
Typical High
$5,128.61
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$26,302.68
Typical High
$26,302.68
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$6,918.31
Typical High
$10,715.19
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,495.41
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,760.83
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,187.76
Typical High
$5,495.41