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Esophagus Repair for Birth Defect, Chest Approach

Maryland rates for HCPCS 43313

Open surgery through the chest to repair or rebuild the esophagus in a patient born with a defect of this swallowing tube. This version does not include repair of an abnormal connecting passage (fistula).

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $302$1,2300%10%10th90th$437Professionalmedian $3,090 · 10th–90th $2,455$4,1690%20%10th90th$3,090$500.0$1.0K$2.0K$5.0K$10.0K$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
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,951.21
Typical High
$3,801.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$5,754.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$5,754.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$4,073.80