go back

New York rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Facilitymedian $4,074 · 10th–90th $1,445$9,1200%10%10th90th$4,074Professionalmedian $1,230 · 10th–90th $871$2,8840%20%10th90th$1,230$50.0$200.0$1.0K$5.0K$20.0K

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
$1,348.96 / $3,715.35 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,122.02 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,905.46
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,737.80 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,412.54 / $3,548.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,348.96 / $3,388.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,318.26 / $1,995.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,380.38 / $2,137.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,318.26 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,981.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,621.81 / $9,549.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $3,630.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $2,570.40