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Oregon rates for HCPCS 45397

Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed

Facilitymedian $4,074 · 10th–90th $2,138–$5,3700%20%10th90th$4,074Professionalmedian $3,981 · 10th–90th $3,090–$4,8980%20%40%10th90th$3,981$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,248.07 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,884.03 / $5,128.61
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,073.80 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,951.21 / $5,011.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $8,511.38 / $31,622.78