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Massachusetts rates for HCPCS 43313

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

Facilitymedian $3,388 · 10th–90th $1,778–$5,8880%10%20%10th90th$3,388Professionalmedian $3,548 · 10th–90th $2,570–$7,5860%10%10th90th$3,548$100.0$500.0$2.0K$10.0K$50.0K

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
$2,570.40 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,019.95 / $7,079.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,511.89 / $17,782.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,623.41 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $676.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $3,801.89 / $7,943.28
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $5,754.40
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,548.13 / $5,128.61
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $2,511.89 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,786.30 / $7,244.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,511.89 / $17,782.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,754.23 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,466.84 / $8,317.64