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Near-Total Pancreas Removal, Duodenum Spared

Vermont rates for HCPCS 48146

Removes nearly all of the pancreas while deliberately leaving the first stretch of small intestine, the duodenum, and its blood supply untouched. Sparing the duodenum avoids the larger rebuild of the stomach, bile duct, and intestine connections that a wider removal would need. It is used for disease affecting most of the gland, such as long-standing painful inflammation.

Rates data updated July 2026.

How much does Near-Total Pancreas Removal, Duodenum Spared cost?

$1,950

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,950 for this service. Most negotiated rates run $1,862 to $2,239.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,950 · 10th to 90th $1,820 to $2,570
$2K$5Kprofessional $1,950

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
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$2,570.40
Typical High
$4,168.69
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,570.40
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$4,466.84

Where Vermont 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.

Vermont· 47th of 51

$1,950

MN $4,365KY $1,862

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.