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California rates for HCPCS 43313

Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula

Facilitymedian $11,749 · 10th–90th $3,548$22,3870%10%10th90th$11,749Professionalmedian $3,311 · 10th–90th $2,512$9,7720%20%10th90th$3,311$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $10,471.29 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,090.30 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,489.63 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,630.78 / $6,760.83
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $8,128.31 / $15,488.17
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,981.07 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,467.37 / $6,606.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,884.03 / $10,715.19
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $17,782.79
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $25,118.86 / $25,118.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $4,265.80
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,467.37 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,467.37 / $7,244.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $8,709.64
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,623.41 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,019.95 / $5,888.44