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Rhode Island rates for HCPCS 43520

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

Facilitymedian $3,631 · 10th–90th $603–$6,6070%10%10th90th$3,631Professionalmedian $776 · 10th–90th $617–$1,4130%10%20%10th90th$776$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $954.99 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $933.25 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,238.72 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $831.76 / $1,445.44