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Rectal Pull-Through Removal Surgery

Illinois rates for HCPCS 45120

This operation removes the rectum, and often part of the lower colon, then reconnects the remaining bowel down near the anus so a person can continue to pass stool normally without a permanent ostomy bag. It is used to treat congenital megacolon (Hirschsprung's disease), a condition present from birth in which part of the colon lacks the nerve cells needed to function normally, requiring the affected segment to be removed. This surgery is typically performed in infants or young children.

Facilitymedian $3,090 · 10th–90th $1,148$9,7720%10%10th90th$3,090Professionalmedian $1,862 · 10th–90th $1,445$3,7150%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
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,090.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$19,054.61
Typical High
$36,307.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$3,548.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$7,585.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,818.38
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,995.26
Typical High
$3,388.44