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Esophagus Repair for Birth Defect, Chest Approach

New Mexico 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 $3,715 · 10th–90th $2,692$6,6070%10%10th90th$3,715Professionalmedian $3,020 · 10th–90th $2,570$4,7860%20%10th90th$3,020$50.0$200.0$1.0K$5.0K$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
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,884.03
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,890.45
Typical High
$5,623.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,168.69
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$5,754.40