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Oregon rates for HCPCS 43313

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

Facilitymedian $5,129 · 10th–90th $2,951–$6,7610%20%10th90th$5,129Professionalmedian $4,571 · 10th–90th $2,570–$7,5860%10%10th90th$4,571$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,079.46 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,090.30 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,011.87 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,495.41 / $6,760.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,801.89 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,128.61 / $7,244.36
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,248.07 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $5,623.41 / $7,762.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,165.95 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $8,511.38 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,248.07 / $7,585.78