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Wisconsin rates for HCPCS 45116

Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)

Facilitymedian $7,586 · 10th–90th $2,089$14,1250%10%10th90th$7,586Professionalmedian $1,862 · 10th–90th $1,413$5,6230%10%20%10th90th$1,862$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,621.81 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,884.03 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,570.88 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,715.35 / $6,456.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,089.30 / $8,912.51
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,311.31 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,137.96 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,754.23 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $3,162.28
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,090.30 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,311.31 / $5,128.61
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $14,125.38 / $14,125.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $7,585.78 / $11,220.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,025.60 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,760.83 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,290.87 / $6,025.60