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Florida rates for HCPCS 45119

Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed

Facilitymedian $6,457 · 10th–90th $1,318–$23,4420%10%10th90th$6,457Professionalmedian $1,995 · 10th–90th $1,622–$3,3880%20%40%10th90th$1,995$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
$1,230.27 / $4,897.79 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,041.74 / $3,548.13
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $5,495.41 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,905.46 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,398.83 / $4,073.80
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $22,908.68 / $33,884.42
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,659.59 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $4,365.16 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,995.26 / $3,630.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,949.84