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See a sample rate comparisonCPT 45382 Fee Schedule
Medicare rates as of October 2026
CPT 45382 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withcontrol Of Bleeding Any Method Colonoscopy Flexible Proximal To Splenic Flexure With
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service PT - Colorectal cancer screening test; converted to diagnostic test or other procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $730.14 national non-facility rate (2026) · View Medicare rates for 45382 |
| Medicaid Fee Schedule | $573.81 median of the 8 states in the free preview · View Medicaid rates for 45382 |
National average reimbursement for CPT 45382 by major payers:
$819.22
BCBS / Anthem
$890.20
UnitedHealthcare
$957.39
Aetna
$1,082.08
Cigna
Compare published rates across providers.
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CPT 45382
5 of 25 sample ratesHigher to lower in this preview
Oscar Verzosa
$1,565.96Published rateJohn Ahrens
Cumberland Internal Medicine, P.A.
$771.23Published ratePaul Hierholzer
$479.73Published rateYue Wang
Yue Wang Md, LLC
$399.77Published rateShahida Abbas
Shahida Abbas Md LLC
$157.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 45382 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45382. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 45334-CPT | Moderate | Intestinal Bleeding Scope Exam, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Treats Bleeding. |
| 45346-CPT | High | 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. |
| 45382-CPT | Moderate | Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withcontrol Of Bleeding Any Method Colonoscopy Flexible Proximal To Splenic Flexure With |
| 45393-CPT | Moderate | Colonoscopy W Decompression, Colonoscopy Flexible With Decompression For Pathologic Distention Eg Volvulus Megacolon Including Placement Of Decompression Tube When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45382. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45382 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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