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Georgia rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.72 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.86 / $1,145.06 / $2,127.38
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
$966.61 / $1,384.47 / $2,651.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,833.65 / $2,006.51 / $3,081.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.14 / $1,644.57 / $2,790.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.54 / $1,248.70 / $2,638.65
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
$1,022.23 / $1,474.30 / $2,569.17