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Partial Removal Of The Rectum

Pennsylvania rates for HCPCS 45111

Removes part of the rectum, the last section of the large bowel above the anus, taking out the diseased segment and leaving the rest in place. It is done for conditions such as a tumor or severe damage confined to one part of the rectum.

Facilitymedian $5,370 · 10th–90th $1,000$8,5110%10%20%10th90th$5,370$50.0$200.0$1.0K$5.0K$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
$1,047.13
Median
$5,370.32
Typical High
$8,511.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,819.70
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,981.07
Typical High
$8,317.64
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,290.87
Typical High
$6,309.57