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Virginia 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
$1,885.09 / $4,796.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.86 / $1,885.09 / $2,048.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,604.05 / $10,127.70 / $14,105.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.29 / $1,919.81 / $2,633.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.32 / $2,134.84 / $3,716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.98 / $2,227.84 / $4,121.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.09 / $1,866.11 / $2,301.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.61 / $2,313.52 / $3,175.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.00 / $2,312.00 / $3,815.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.38 / $2,221.71 / $3,971.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.38 / $2,221.71 / $3,971.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.52 / $2,253.73 / $3,643.14