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Repair Of A Leak From An Internal Bowel Pouch

Washington, DC rates for HCPCS 46712

Surgery to close an abnormal tunnel or blind track leading out of an internal pouch built from the small bowel after the colon has been removed. Such a tunnel can open onto the skin near the anus or into the vagina, causing leakage and infection. The affected tissue is cleared out and the opening is closed.

Rates data updated October 2026.

How much does Repair Of A Leak From An Internal Bowel Pouch cost?

$2,399

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $2,399 for this service. Most negotiated rates run $2,138 to $2,570.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,570 · 10th to 90th $646 to $6,607Professionalmedian $2,399 · 10th to 90th $1,950 to $3,020
$500$1K$2K$5K$10Kfacility $2,570professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,659.59
Median
$1,819.70
Typical High
$1,819.70
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$5,011.87
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$5,623.41

Where Washington, DC sits

The same service costs 21.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 33rd of 51

$2,399

AK $7,762TX $355

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.