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Virginia rates for HCPCS 45120

Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)

Facilitymedian $2,630 · 10th–90th $1,585$9,5500%10%10th90th$2,630Professionalmedian $1,778 · 10th–90th $1,413$3,0200%10%20%10th90th$1,778$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,862.09 / $3,630.78 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,737.80 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $8,709.64 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,041.74 / $3,162.28
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,737.80 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,862.09 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,737.80 / $2,818.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,089.30 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,089.30 / $3,162.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $3,090.30
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $3,801.89
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $3,162.28 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,819.70 / $3,019.95