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See a sample rate comparisonCPT 45307 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Object From Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure Removes A Foreign Object.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45307 |
| Medicaid Fee Schedule | View Medicaid rates for 45307 |
National average reimbursement for CPT 45307 by major payers:
$232.55
$252.97
$280.08
$167.60
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CPT 45307
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$7,408.95Published rateThe Midland Surgical Center LLC
$2,555.00Published rateThe Regents Of The University Of California
$2,044.00Published rateEndoscopy Center Of Santa Fe Lp, The Endoscopy Center Of Santa Fe
Endoscopy Center Of Santa Fe Lp
$1,056.00Published rateDeaconess Hospital, Inc., <Unavail>
Deaconess Hospital Inc
$307.47Published rate
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See a sample payer proposalCPT 45307 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45307 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 45307 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 45300-CPT | Low | Scope Exam Of Large Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure May Include Taking A Sample Of Tissue For Testing (Biopsy). |
| 45303-CPT | Moderate | Exam Of Narrowed Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure Enlarges A Section That Has Become Narrowed. |
| 45307-CPT | Moderate | Remove Object From Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure Removes A Foreign Object. |
| 45308-CPT | Moderate | Colonoscopy To Remove Tissue, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Removes Abnormal Tissue Growths Such As Tumors Or Polyps. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45307 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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