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Tennessee 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
$2,205.15 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.21 / $2,033.12 / $2,205.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,324.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.04 / $2,107.11 / $3,737.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.27 / $2,318.53 / $3,616.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,928.88 / $15,263.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,595.18 / $14,877.05 / $15,367.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.71 / $2,300.94 / $3,745.25