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Texas rates for HCPCS 43313

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

Facilitymedian $3,631 · 10th–90th $1,000–$8,5110%10%20%10th90th$3,631Professionalmedian $3,090 · 10th–90th $2,455–$4,8980%20%40%10th90th$3,090$20.0$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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,090.30 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,174.90 / $3,090.30
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $891.25 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,548.13 / $6,025.60
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $17,782.79
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $25,118.86 / $25,118.86
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,548.13 / $6,165.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,162.28 / $5,128.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,454.71
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $6,025.60 / $7,244.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,630.78 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,290.87 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,090.30 / $4,786.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $3,235.94