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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.12 / $2,144.48 / $3,732.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.19 / $2,840.23 / $3,170.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,859.54 / $3,298.07 / $3,956.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.75 / $2,782.76 / $3,180.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,592.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.67 / $2,498.67 / $3,076.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.24 / $2,258.15 / $3,541.64