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Minnesota 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
$1,737.80 / $1,737.80 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,570.88 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $5,011.87 / $7,762.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,309.57 / $12,302.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,570.88 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,691.53 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,630.78 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,311.31 / $6,309.57