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Repair Of A Torn Food Pipe Through Chest Or Abdomen

North Carolina rates for HCPCS 43415

Stitches closed a tear, hole or wound in the esophagus, the tube that carries food from the throat to the stomach, reaching it through the chest or the upper abdomen. The area around the repair is cleaned out and drained, because leaking contents cause severe infection. This approach reaches the lower part of the tube, which cannot be dealt with from the neck.

Facilitymedian $2,884 · 10th–90th $1,738$6,9180%20%10th90th$2,884Professionalmedian $2,630 · 10th–90th $2,630$2,6300%50%100%$2,630$1.0$5.0$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,570.40
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$15,488.17
Typical High
$15,488.17