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Rigid Rectal Scope With Removal of Growths

Kentucky rates for HCPCS 45315

A short rigid scope is passed into the rectum and the lowest part of the large bowel so the doctor can see the lining directly, and growths found there are removed during the same examination. They are taken off with heated forceps or a wire loop, which also seals the small raw area left behind. The removed tissue is sent for laboratory examination.

Facilitymedian $1,950 · 10th–90th $316$3,8020%5%10%10th90th$1,950Professionalmedian $170 · 10th–90th $98$2880%10%10th90th$170$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$128.82
Median
$1,288.25
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$316.23