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Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.76 / $1,865.30 / $1,904.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.31 / $2,011.00 / $3,413.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.37 / $2,368.34 / $4,350.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $2,466.44 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.35 / $3,009.16 / $14,877.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.72 / $2,482.07 / $4,594.17