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Esophagus And Windpipe Fistula Repair, Chest Approach

New Jersey rates for HCPCS 43312

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, together with repair of an abnormal connection between the esophagus and the windpipe. Correcting this connection helps prevent food, liquid, or saliva from passing into the airway.

Rates data updated July 2026.

Facilitymedian $6,918 · 10th–90th $1,862$11,7490%10%10th90th$6,918Professionalmedian $1,698 · 10th–90th $1,413$3,5480%10%20%10th90th$1,698$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
$2,630.27
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,691.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$3,890.45
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,187.76
Typical High
$3,311.31
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$3,548.13