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Surgical Opening From Esophagus To The Skin

New Hampshire rates for HCPCS 43351

Creation of an opening between the esophagus and the surface of the body, so saliva and anything swallowed drains outside instead of traveling on to the stomach. It is used when the esophagus below cannot be used, for example after a serious injury, a leak, or removal of a segment, and nutrition is then given another way.

Facilitymedian $8,710 · 10th–90th $2,399$26,9150%10%10th90th$8,710Professionalmedian $1,778 · 10th–90th $1,288$3,3110%10%10th90th$1,778$100.0$500.0$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,786.30
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$18,197.01
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,570.40
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$3,890.45
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,548.82