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Other Esophagus Procedure

Maryland rates for HCPCS 43499

Covers an operation on the esophagus, the tube that carries food from the throat to the stomach, that does not match any of the standard named esophageal procedures. The surgeon submits a written report describing what was done so the insurer can review it. It is used for unusual, complex or newly developed operations.

Facilitymedian $589 · 10th–90th $427$1,4450%10%10th90th$589Professionalmedian $575 · 10th–90th $240$2,3440%10%20%10th90th$575$100.0$200.0$500.0$1.0K$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$575.44
Typical High
$2,344.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09