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New Jersey 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
$1,330.52 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.52 / $1,771.37 / $2,784.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.37 / $2,491.94 / $5,247.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.54 / $2,522.54 / $3,007.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.74 / $1,741.54 / $3,248.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.53 / $1,654.33 / $3,740.87