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Ohio 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
$1,635.08 / $6,569.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.67 / $1,635.08 / $3,276.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.50 / $1,970.51 / $3,272.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.59 / $1,861.91 / $2,304.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.75 / $1,706.75 / $2,111.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.34 / $2,345.21 / $3,371.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.59 / $2,368.42 / $3,257.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.52 / $1,399.86 / $2,230.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.15 / $2,134.82 / $3,961.78