go back

Arizona rates for HCPCS 45113

Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,365.16 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,089.30 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $3,467.37