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Kentucky rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Facilitymedian $3,981 · 10th–90th $851–$10,7150%10%20%10th90th$3,981Professionalmedian $1,047 · 10th–90th $851–$1,5490%20%10th90th$1,047$50.0$200.0$1.0K$5.0K

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
$794.33 / $2,290.87 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,071.52 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $870.96 / $1,318.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $1,513.56
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,122.02 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,380.38 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,388.44 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,174.90 / $1,905.46