go back

Washington rates for HCPCS 45397

Laps Proctectomy Combined Pull-Thru W/Reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.39 / $6,135.91 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $2,800.00 / $19,569.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.66 / $4,204.57 / $5,333.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,059.56 / $4,070.09 / $4,218.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.95 / $2,838.95 / $2,877.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00