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New York 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.00 / $3,330.10 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.87 / $2,275.14 / $4,228.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,922.00 / $11,208.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.11 / $1,931.18 / $4,322.67
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.62 / $2,654.62 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,654.62 / $2,654.62 / $2,654.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.00 / $2,124.06 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.85 / $2,864.16 / $6,743.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,957.87 / $4,784.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.69 / $2,521.52 / $3,773.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.98 / $1,738.98 / $1,738.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.52 / $1,999.83 / $3,463.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,124.06 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.54 / $2,749.35 / $6,341.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $4,194.00 / $9,020.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.74 / $2,201.71 / $5,085.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.38 / $2,231.38 / $7,266.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.52 / $2,502.58 / $4,743.74