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Keyhole Rectum Removal With Pouch Reconstruction

Maine rates for HCPCS 45397

Removes the rectum through several small cuts using a camera and long instruments, working from the abdomen and from below, then brings the colon down and joins it to the anal canal after shaping part of it into a pouch that acts as a reservoir. A temporary opening on the abdomen may be created so waste bypasses the new join while it heals. It keeps the anus in place, so waste can still pass normally afterwards.

Rates data updated July 2026.

How much rates vary

Facilitymedian $10,233 · 10th to 90th $9,120 to $13,804
$1K$2K$5K$10Kfacility $10,233

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,471.29
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83