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See a sample rate comparisonCPT 45350 Fee Schedule
Medicare rates as of October 2026
CPT 45350 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Treatment For Hemorrhoid, Procedure On The Intestine With A Scope (Sigmoidoscopy). It Includes Applying A Small Band To The Base Of The Hemorrhoid Which Stops The Flow Of Blood.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | SG - Scene to Hospital ESRD facility 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $743.50 national non-facility rate (2026) · View Medicare rates for 45350 |
| Medicaid Fee Schedule | $588.07 median of the 8 states in the free preview · View Medicaid rates for 45350 |
National average reimbursement for CPT 45350 by major payers:
$686.15
BCBS / Anthem
$810.57
UnitedHealthcare
$801.05
Aetna
$1,103.82
Cigna
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CPT 45350
5 of 25 sample ratesHigher to lower in this preview
Alpine Surgicenter, LLC
$4,090.00Published ratePrince Frederick Surgery Center LLC
Prince Frederick Surgery Center, LLC
$1,258.00Published rateNorthbay Physician'S Surgery Center, L.L.C.
Northbay Physicians Surgery Center LLC
$905.00Published rateMetropolitan Surgical Associates Inc. Dba Metropolitan Medical Assoc
Metropolitan Surgical Associates, Inc.
$700.00Published rateArkansas Center For Surgical Excellence
$383.00Published rate
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See a sample payer proposalCPT 45350 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45350. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 45347-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed With Placement Of Endoscopic Stent Includes Pre And Post-Dilat |
| 45349-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimen(S) By Brushing Or Washing, When Performed With Endoscopic Mucosal Resection. |
| 45350-CPT | Moderate | Treatment For Hemorrhoid, Procedure On The Intestine With A Scope (Sigmoidoscopy). It Includes Applying A Small Band To The Base Of The Hemorrhoid Which Stops The Flow Of Blood. |
| 45398-CPT | Moderate | Colonoscopy Hemorrhoid Band, An Exam Of The Intestine With A Scope (Colonoscopy). The Procedure Includes Stopping The Flow Of Blood To A Hemorrhoid Using A Band. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45350 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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