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Removal Of An Internal Small-Bowel Pouch

Connecticut rates for HCPCS 45136

Takes out an internal reservoir that was previously built from the small intestine to store stool after the colon and rectum were removed, when that pouch has failed, become chronically inflamed, or can no longer be used. The bowel is not reconnected: instead the end of the small intestine is brought out through the abdominal wall as a permanent opening, so waste empties into a pouch worn on the skin. It is a major abdominal operation with a substantial recovery.

Facilitymedian $4,677 · 10th–90th $3,388$10,4710%20%10th90th$4,677Professionalmedian $2,042 · 10th–90th $1,622$4,2660%20%40%10th90th$2,042$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
$3,388.44
Median
$4,677.35
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,235.94
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$5,248.07
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,754.40
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,754.23
Typical High
$5,888.44