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Pennsylvania rates for HCPCS 45905

Dilation of anal sphincter (separate procedure) under anesthesia other than local

Facilitymedian $2,692 · 10th–90th $646–$8,3180%5%10th90th$2,692$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
$660.69 / $2,691.53 / $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
$288.40 / $912.01 / $1,778.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $954.99 / $1,122.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,311.31 / $4,365.16
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,905.46 / $6,606.93
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $309.03 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,398.83 / $4,265.80