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Utah rates for HCPCS 43520

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

Facilitymedian $4,169 · 10th–90th $933–$10,4710%10%20%10th90th$4,169Professionalmedian $776 · 10th–90th $631–$1,9500%10%20%10th90th$776$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
$933.25 / $3,388.44 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $870.96 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,479.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,071.52 / $1,479.11
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,318.26 / $1,737.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,047.13 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,466.84 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $758.58 / $1,202.26