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Utah rates for HCPCS 43520

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,388.44 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $912.01 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,479.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,479.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,318.26 / $1,737.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,202.26