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Esophagus And Windpipe Fistula Repair, Chest Approach

Vermont 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 October 2026.

How much does Esophagus And Windpipe Fistula Repair, Chest Approach cost?

$2,344

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $2,138 to $2,570.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $2,399 · 10th to 90th $1,738 to $3,020
$500$1K$2K$5Kfacility $776professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$2,570.40
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$3,162.28

Where Vermont sits

The same service costs 5.4 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 17th of 51

$2,344

AK $5,623TX $1,047

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.