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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.08 / $1,677.32 / $8,692.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.35 / $1,351.14 / $1,688.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.91 / $1,987.23 / $3,647.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.08 / $1,943.00 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.84 / $1,928.20 / $14,877.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.66 / $1,761.48 / $3,173.53