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Wisconsin 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 $7,586 · 10th–90th $2,884–$14,4540%10%10th90th$7,586Professionalmedian $4,571 · 10th–90th $2,512–$7,5860%10%20%10th90th$4,571$1.0K$2.0K$5.0K$10.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,265.80 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,309.57 / $10,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,884.03 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,691.53 / $7,585.78
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $4,265.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,570.88 / $7,079.46
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,370.32 / $19,054.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,760.83 / $19,498.45