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Idaho rates for HCPCS 43520

Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.36 / $933.12 / $1,994.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.25 / $1,059.09 / $1,289.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.24 / $1,198.14 / $2,114.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.42 / $1,224.39 / $1,399.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $972.01 / $1,222.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.36 / $1,372.88 / $1,395.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.15 / $936.71 / $1,482.62