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Idaho rates for HCPCS 51596

Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,120.11 / $11,220.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68