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Pennsylvania rates for HCPCS 45541

Proctopexy (eg, for prolapse); perineal approach

Facilitymedian $3,890 · 10th–90th $1,047–$8,3180%10%10th90th$3,890$50.0$200.0$1.0K$5.0K$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
$1,047.13 / $3,981.07 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,995.26 / $3,981.07
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,137.96 / $2,570.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,570.40 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,981.07 / $8,912.51