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Repair Of A Leak From An Internal Bowel Pouch

Montana 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?

$3,467

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $3,548 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,467$2,344 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,548$2,884 to $3,631

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,445 to $3,890Professionalmedian $3,467 · 10th to 90th $79 to $4,074
$100$200$500$1K$2K$5Kfacility $3,548professional $3,467

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$6,309.57
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$3,467.37
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$3,548.13
Typical High
$4,073.80
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,548.13
Typical High
$3,801.89
Providence
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,235.94
Typical High
$3,548.13
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$4,365.16
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,412.54
Median
$4,466.84
Typical High
$4,466.84

Where Montana 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.

Montana· 14th of 51

$3,467

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.