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Repair Of A Leak From An Internal Bowel Pouch

Michigan 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 July 2026.

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

$2,399

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $4,074 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,399$2,089 to $2,884
FacilityA hospital or hospital-owned outpatient department$4,074$4,074 to $4,898

How much rates vary

Facilitymedian $4,074 · 10th to 90th $2,884 to $5,754Professionalmedian $2,399 · 10th to 90th $1,995 to $3,236
$1K$2K$5Kfacility $4,074professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,235.94
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$3,235.94
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$5,128.61
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,897.79
Typical High
$5,888.44
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$3,162.28
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$3,801.89

Where Michigan sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

Michigan· 36th of 51

$2,399

MN $5,012KY $2,188

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.