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Connecticut 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
$3,090.30 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,862.09 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,162.28 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $4,265.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,165.95 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $4,786.30