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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.81 / $1,771.37 / $1,771.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.04 / $2,010.83 / $2,024.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,328.39 / $2,616.01 / $3,086.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.53 / $1,930.39 / $2,252.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.83 / $2,010.83 / $2,634.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,686.39 / $2,648.92