{"procedure":{"code_type":"CPT","code":"45346","lay_name":"Flexible sigmoidoscopy with destruction of a growth","blurb":"A flexible scope examines the rectum and lower colon and a polyp or other growth is destroyed using heat, laser, or a similar technique rather than being cut out.","slug":"cpt-45346-flexible-sigmoidoscopy-with-destruction-of-a-growth","description":"Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"77","label":"Sigmoidoscopy, proctoscopy, and anoscopy","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":939,"n_usable":862,"n_not_usable":0,"n_labelled":52,"n_no_cash":23,"n_estimated":2,"n_states":50,"cash_p10":421.64,"cash_p20":780.6,"cash_p25":943.25,"cash_p50":1573.44,"cash_p75":3344.0,"cash_p80":3605.4,"cash_p90":5178.6,"cash_mean_trimmed":1905.74,"gross_p50":3234.0,"cash_to_gross_p50":0.6,"medicare_rate":1222.56,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.287,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":10,"p20":1130.79,"p50":1857.45,"p80":4146.75},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":69,"p20":1012.5,"p50":4056.0,"p80":5717.6},{"state":"CO","n":15,"p20":1524.9,"p50":2296.35,"p80":3053.4},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":33,"p20":1435.6,"p50":2470.05,"p80":3344.0},{"state":"GA","n":26,"p20":1238.0,"p50":1254.0,"p80":1495.8},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":24,"p20":887.0,"p50":3621.0,"p80":6681.6},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":30,"p20":1157.6,"p50":2308.6,"p80":2586.75},{"state":"IN","n":22,"p20":337.12,"p50":508.03,"p80":1980.65},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":1264.54,"p50":1986.43,"p80":4734.46},{"state":"LA","n":18,"p20":780.16,"p50":1204.28,"p80":1757.95},{"state":"MA","n":25,"p20":1150.5,"p50":2195.25,"p80":3661.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":28,"p20":670.7,"p50":670.7,"p80":1645.43},{"state":"MN","n":44,"p20":1057.44,"p50":1092.98,"p80":3278.0},{"state":"MO","n":12,"p20":1453.2,"p50":1606.2,"p80":2805.0},{"state":"MS","n":11,"p20":720.8,"p50":945.8,"p80":1035.88},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":13,"p20":1082.97,"p50":1428.6,"p80":1548.46},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":38,"p20":1368.11,"p50":1573.33,"p80":5110.0},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":39,"p20":526.17,"p50":1395.28,"p80":3508.03},{"state":"OH","n":62,"p20":2089.35,"p50":3314.35,"p80":3525.6},{"state":"OK","n":18,"p20":262.5,"p50":262.5,"p80":2038.2},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":46,"p20":1296.6,"p50":2023.7,"p80":4596.0},{"state":"RI","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":19,"p20":2772.0,"p50":3521.05,"p80":3521.05},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":16,"p20":320.45,"p50":766.92,"p80":1093.16},{"state":"TX","n":56,"p20":748.5,"p50":817.5,"p80":2294.4},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":7,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":979.2,"p50":2525.6,"p80":4366.75},{"state":"WI","n":36,"p20":1026.48,"p50":1485.25,"p80":2229.3},{"state":"WV","n":14,"p20":163.5,"p50":167.53,"p80":1956.5},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":705,"p20":815.7,"p50":1606.2,"p80":3679.0},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":143,"p20":544.73,"p50":1485.25,"p80":3234.0}],"ownership":[{"key":"for_profit","n":87,"p20":841.89,"p50":1616.46,"p80":3221.67},{"key":"government","n":127,"p20":836.48,"p50":1548.67,"p80":3661.0},{"key":"nonprofit","n":644,"p20":756.18,"p50":1599.0,"p80":3661.0}],"affiliation":[{"key":"affiliated","n":739,"p20":811.8,"p50":1599.0,"p80":3661.0},{"key":"independent","n":123,"p20":489.0,"p50":1560.0,"p80":3104.0}]},"histogram":[{"lo":286.26,"hi":387.96,"n":37},{"lo":387.96,"hi":525.78,"n":25},{"lo":525.78,"hi":712.57,"n":37},{"lo":712.57,"hi":965.72,"n":77},{"lo":965.72,"hi":1308.81,"n":105},{"lo":1308.81,"hi":1773.78,"n":137},{"lo":1773.78,"hi":2403.93,"n":87},{"lo":2403.93,"hi":3257.96,"n":76},{"lo":3257.96,"hi":4415.38,"n":120},{"lo":4415.38,"hi":5984.0,"n":75}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":631,"n_usable":576,"n_not_usable":0,"n_labelled":33,"n_no_cash":22,"n_estimated":0,"n_states":47,"cash_p10":465.39,"cash_p20":817.5,"cash_p25":1057.44,"cash_p50":1980.65,"cash_p75":3521.05,"cash_p80":3796.0,"cash_p90":5657.0,"cash_mean_trimmed":2132.89,"gross_p50":3486.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":61,"p20":2032.21,"p50":4842.0,"p80":5717.6},{"state":"CO","n":13,"p20":1779.05,"p50":2296.35,"p80":3053.4},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":20,"p20":1436.4,"p50":3344.0,"p80":4602.65},{"state":"GA","n":23,"p20":1238.0,"p50":1254.0,"p80":1495.8},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":21,"p20":1464.0,"p50":6681.6,"p80":6681.6},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":17,"p20":1464.0,"p50":1980.65,"p80":3444.0},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":8,"p20":null,"p50":null,"p80":null},{"state":"LA","n":11,"p20":870.24,"p50":1370.2,"p80":1664.32},{"state":"MA","n":22,"p20":1773.1,"p50":2561.0,"p80":3661.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":623.2,"p50":1485.25,"p80":1743.96},{"state":"MN","n":31,"p20":970.58,"p50":1175.0,"p80":3278.0},{"state":"MO","n":8,"p20":null,"p50":null,"p80":null},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":7,"p20":null,"p50":null,"p80":null},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":17,"p20":340.82,"p50":756.18,"p80":3780.0},{"state":"OH","n":53,"p20":2361.75,"p50":3314.35,"p80":3525.6},{"state":"OK","n":15,"p20":262.5,"p50":262.5,"p80":1829.4},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":36,"p20":1379.79,"p50":2221.79,"p80":4596.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":15,"p20":2772.0,"p50":3521.05,"p80":3521.05},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":48,"p20":748.5,"p50":817.5,"p80":2294.4},{"state":"VA","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WI","n":25,"p20":1485.25,"p50":1485.25,"p80":2229.3},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":478,"p20":811.8,"p50":1872.0,"p80":3941.85},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":86,"p20":1035.88,"p50":2089.35,"p80":3278.0}],"ownership":[{"key":"for_profit","n":52,"p20":748.5,"p50":1495.8,"p80":2825.4},{"key":"government","n":77,"p20":1082.97,"p50":2116.2,"p80":3776.5},{"key":"nonprofit","n":443,"p20":817.5,"p50":2073.4,"p80":3941.85}],"affiliation":[{"key":"affiliated","n":509,"p20":836.48,"p50":2089.35,"p80":3938.0},{"key":"independent","n":67,"p20":434.88,"p50":1606.2,"p80":3104.0}]},"histogram":[{"lo":288.6,"hi":391.37,"n":23},{"lo":391.37,"hi":530.75,"n":11},{"lo":530.75,"hi":719.75,"n":20},{"lo":719.75,"hi":976.06,"n":59},{"lo":976.06,"hi":1323.64,"n":50},{"lo":1323.64,"hi":1795.01,"n":83},{"lo":1795.01,"hi":2434.23,"n":59},{"lo":2434.23,"hi":3301.08,"n":66},{"lo":3301.08,"hi":4476.63,"n":95},{"lo":4476.63,"hi":6070.8,"n":56}],"previous":null}},"related":[{"code_type":"CPT","code":"46600","lay_name":"Anoscopy to examine the anal canal","slug":"cpt-46600-anoscopy-to-examine-the-anal-canal"},{"code_type":"CPT","code":"45330","lay_name":"Flexible sigmoidoscopy, diagnostic","slug":"cpt-45330-flexible-sigmoidoscopy-diagnostic"},{"code_type":"CPT","code":"45331","lay_name":"Flexible sigmoidoscopy with biopsy","slug":"cpt-45331-flexible-sigmoidoscopy-with-biopsy"},{"code_type":"CPT","code":"45338","lay_name":"Flexible sigmoidoscopy with snare removal of a polyp","slug":"cpt-45338-flexible-sigmoidoscopy-with-snare-removal-of-a-polyp"},{"code_type":"CPT","code":"45300","lay_name":"Rigid scope exam of the rectum and lower colon","slug":"cpt-45300-rigid-scope-exam-of-the-rectum-and-lower-colon"},{"code_type":"CPT","code":"45335","lay_name":"Flexible sigmoidoscopy with injection into the bowel wall","slug":"cpt-45335-flexible-sigmoidoscopy-with-injection-into-the-bowel-wall"},{"code_type":"CPT","code":"45334","lay_name":"Flexible sigmoidoscopy to stop bleeding","slug":"cpt-45334-flexible-sigmoidoscopy-to-stop-bleeding"},{"code_type":"CPT","code":"45100","lay_name":"Biopsy of the rectal wall through the anus","slug":"cpt-45100-biopsy-of-the-rectal-wall-through-the-anus"},{"code_type":"CPT","code":"46606","lay_name":"Anoscopy with biopsy of one or more areas","slug":"cpt-46606-anoscopy-with-biopsy-of-one-or-more-areas"},{"code_type":"CPT","code":"45333","lay_name":"Flexible sigmoidoscopy with polyp removal by heated forceps","slug":"cpt-45333-flexible-sigmoidoscopy-with-polyp-removal-by-heated-forceps"},{"code_type":"CPT","code":"45340","lay_name":"Flexible sigmoidoscopy with balloon stretching of the bowel","slug":"cpt-45340-flexible-sigmoidoscopy-with-balloon-stretching-of-the-bowel"},{"code_type":"CPT","code":"45337","lay_name":"Flexible sigmoidoscopy to decompress the bowel with a tube","slug":"cpt-45337-flexible-sigmoidoscopy-to-decompress-the-bowel-with-a-tube"}]}