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Louisiana 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
$933.25 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $3,090.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $812.83 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,174.90 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $3,467.37