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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.08 / $1,846.08 / $1,877.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.00 / $2,153.00 / $2,198.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.91 / $2,233.11 / $2,631.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $2,197.67 / $5,922.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.53 / $2,093.12 / $14,877.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.80 / $1,899.98 / $3,036.51