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Rectum Removal With Pull-Through And Bowel Pouch

West Virginia rates for HCPCS 45119

Major surgery that removes the rectum, the last section of the large bowel, working through both an incision in the abdomen and access from the area around the anus. The end of the remaining colon is then folded and joined to itself to build a pouch that serves as a new reservoir for stool, and that pouch is brought down and connected to the anal canal. A temporary opening on the abdomen is sometimes made in the same operation to divert stool while the new join heals.

Facilitymedian $1,862 · 10th–90th $1,413$3,1620%20%40%10th90th$1,862Professionalmedian $1,950 · 10th–90th $1,738$3,0900%20%10th90th$1,950$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,949.84
Typical High
$3,090.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$3,090.30