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Opening Of A Blocking Anal Membrane In A Baby

New Hampshire rates for HCPCS 46070

A small operation in a baby that cuts through a thin wall of tissue blocking the anal opening, so stool can pass normally. The membrane is divided and the opening is then checked to make sure it is wide enough. It treats a malformation usually found in the first days of life.

Facilitymedian $1,820 · 10th–90th $794$9,7720%10%20%10th90th$1,820Professionalmedian $380 · 10th–90th $251$7240%10%10th90th$380$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
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,819.70
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$691.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$912.01
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$331.13