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North Carolina rates for HCPCS 43313

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

Facilitymedian $3,715 · 10th–90th $2,455$7,5860%20%10th90th$3,715Professionalmedian $4,074 · 10th–90th $2,818$7,7620%10%20%10th90th$4,074$1.0$10.0$100.0$1.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,365.16 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,090.30 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,025.60 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,890.45 / $6,760.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,467.37 / $5,370.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,244.36
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,570.40 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,090.30 / $5,623.41
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $17,782.79 / $17,782.79
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $25,118.86