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Wisconsin rates for HCPCS 45123

Proctectomy, partial, without anastomosis, perineal approach

Facilitymedian $7,762 · 10th–90th $1,585–$14,4540%10%10th90th$7,762Professionalmedian $2,399 · 10th–90th $1,349–$3,9810%10%20%10th90th$2,399$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
$1,202.26 / $2,238.72 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,311.31 / $5,248.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,513.56 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,584.89 / $14,125.38
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,398.83 / $3,801.89
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $10,000.00 / $10,000.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $13,489.63 / $16,595.87