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Alaska rates for HCPCS 50825

Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,894.82 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,741.15 / $7,741.15 / $10,792.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,732.09 / $5,732.09 / $5,732.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.09 / $7,741.15 / $11,069.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,975.38 / $10,323.60 / $13,586.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,145.00 / $7,128.20 / $10,520.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.09 / $7,741.15 / $11,069.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.80 / $7,179.00 / $10,721.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,585.68 / $4,592.62 / $10,563.03