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Repair of Imperforate Anus From Below

Massachusetts rates for HCPCS 46730

Creates a working anal opening in a baby born without one, where the bowel ends high up in the pelvis. The surgeon works from below, through the area between the buttocks, drawing the bowel down through the muscles that give control and stitching it to the skin. It is used when the bowel has no abnormal opening into the urinary tract or vagina.

Facilitymedian $2,951 · 10th–90th $1,259$5,6230%10%10th90th$2,951Professionalmedian $2,344 · 10th–90th $1,778$5,4950%10%10th90th$2,344$100.0$500.0$2.0K$10.0K$50.0K

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
$1,905.46
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$5,128.61
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,187.76
Typical High
$12,302.69
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,818.38
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$2,630.27
Typical High
$5,370.32
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,570.40
Typical High
$3,981.07
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$3,630.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,388.44
Typical High
$5,128.61
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,187.76
Typical High
$12,302.69
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,818.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,019.95
Typical High
$5,754.40