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Keyhole Removal of a Segment of Small Intestine

Wisconsin rates for HCPCS 44202

Through small abdominal incisions and a camera, a diseased length of small intestine is cut out and the two healthy ends are joined back together. It is used for conditions such as Crohn's disease, a blockage, a growth, or bowel damaged by injury or poor blood supply. One segment is removed and a single join is made.

Rates data updated July 2026.

Facilitymedian $11,482 · 10th–90th $1,698$19,4980%10%10th90th$11,482Professionalmedian $3,020 · 10th–90th $1,660$4,6770%10%20%10th90th$3,020$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,479.11
Median
$2,754.23
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$12,882.50
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,818.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,019.95
Typical High
$4,677.35
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,511.38
Typical High
$8,511.38
Quartz
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$234.42
Median
$323.59
Typical High
$851.14
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$12,022.64
Typical High
$14,454.40