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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.08 / $1,668.27 / $1,668.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.65 / $2,055.69 / $2,889.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.39 / $1,890.31 / $3,843.80