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Georgia rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.83 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.44 / $1,106.20 / $2,107.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.20 / $5,523.39 / $15,411.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.25 / $1,317.30 / $2,566.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.42 / $1,940.57 / $2,980.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.94 / $1,590.04 / $2,683.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.99 / $1,207.69 / $2,614.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,629.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.34 / $1,375.42 / $2,483.17