go back

Texas rates for HCPCS 45126

Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), or any combination thereof

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.00 / $3,682.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.05 / $2,843.01 / $4,245.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,485.48 / $3,146.83 / $4,383.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.64 / $2,436.64 / $2,500.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,636.44 / $3,694.76 / $5,688.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $27,678.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,347.14 / $21,347.14 / $22,739.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,619.50 / $3,338.82 / $5,873.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,028.33 / $4,028.99 / $4,739.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.10 / $3,123.80 / $6,816.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,619.50 / $3,356.35 / $6,300.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,738.29 / $3,849.37 / $6,771.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.55 / $3,048.48 / $4,863.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.46 / $2,624.83 / $3,544.80