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West 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
$1,400.00 / $1,554.86 / $1,554.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.85 / $1,635.08 / $1,885.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.29 / $1,938.16 / $2,111.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.03 / $1,877.03 / $1,877.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,867.42 / $1,867.42 / $1,867.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.97 / $2,346.28 / $14,877.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.64 / $1,944.42 / $3,061.37