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New Jersey rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Facilitymedian $5,888 · 10th–90th $4,365–$10,7150%10%10th90th$5,888Professionalmedian $1,148 · 10th–90th $891–$2,3990%10%20%10th90th$1,148$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $2,511.89
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,230.27 / $1,819.70
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,000.00 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,148.15 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,888.44 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,122.02 / $2,137.96