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Georgia rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.08 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.56 / $1,203.23 / $2,418.00
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
$1,014.88 / $1,430.98 / $2,778.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,926.60 / $2,109.19 / $3,239.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.42 / $1,730.43 / $2,872.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.24 / $1,312.01 / $2,999.12
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
$1,071.70 / $1,552.54 / $2,697.49