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Georgia rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.18 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.62 / $1,699.80 / $3,042.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,842.74 / $15,411.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.80 / $2,047.15 / $3,969.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.45 / $2,971.92 / $4,066.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.02 / $2,442.26 / $4,062.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.34 / $1,845.14 / $3,755.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $3,372.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.06 / $2,169.15 / $3,797.65