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California 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
$1,840.33 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.55 / $1,771.37 / $8,692.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,893.00 / $10,480.00 / $21,583.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.40 / $2,637.61 / $5,070.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $8,389.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.84 / $1,791.11 / $4,409.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.23 / $2,154.46 / $6,562.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.08 / $1,811.06 / $2,173.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.95 / $2,086.00 / $3,712.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,062.72 / $15,263.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,595.18 / $14,877.05 / $15,367.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.13 / $2,259.83 / $3,065.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.04 / $2,157.82 / $4,678.85
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,393.50 / $5,393.50 / $5,393.50
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.08 / $1,897.61 / $2,393.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,159.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.09 / $2,091.14 / $6,496.29