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Minnesota rates for HCPCS 43520

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

Facilitymedian $2,188 · 10th–90th $692–$5,6230%5%10th90th$2,188Professionalmedian $1,479 · 10th–90th $676–$2,5700%10%10th90th$1,479$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
$630.96 / $630.96 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $3,235.94 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,862.09 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,398.83 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,905.46 / $2,951.21
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $4,677.35
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,698.24 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,318.26 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,230.27 / $2,344.23