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Surgical Fee

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Hi -- I had my Heller myotomy and partial fundoplication July 1st,

and, as I had reported earlier, my eating has returned to basically

normal. Went through a period of mild to moderate spasms, but that

subsided within a month or so. I have had one emotionally induced

relapse to a two hour spitting up event. I am very happy with the

result.

The question I need help with is related to a problem I am having

with insurance reimbursement. The fee for the surgeon alone was

$12,000. My insurance is paying around $4,500. I am going to appeal

their reduction for " usual, customary and reasonable, " but I need

some comparable fees. If you had basically the same surgery, please

respond with your surgeon's charge, his or her name and location,

especially if it was outside of a managed care, participating

physician network. My surgeon's name is Barry Salky and he is in New

York City. Thank you so much.

(davidjohnson@...)

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