go back

Virginia 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
$3,124.73 / $5,282.00 / $29,388.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.40 / $3,124.73 / $3,842.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,362.13 / $8,012.60 / $11,216.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.46 / $3,206.49 / $4,532.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,010.28 / $3,169.96 / $6,181.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $3,111.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.85 / $3,461.32 / $5,822.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.77 / $3,075.38 / $4,731.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,795.13 / $3,583.92 / $5,323.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,460.00 / $3,901.24 / $6,336.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,718.38 / $3,434.87 / $6,025.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,718.38 / $3,434.87 / $6,025.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.91 / $3,259.70 / $5,197.97