go back

Indiana 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
$1,530.92 / $1,834.04 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.92 / $1,635.08 / $2,158.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.02 / $2,505.90 / $3,458.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.91 / $1,938.42 / $2,236.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.09 / $1,714.75 / $2,236.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.18 / $2,206.19 / $3,724.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.21 / $1,961.32 / $3,191.34