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Georgia rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.60 / $5,045.00 / $7,631.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.74 / $1,627.56 / $2,973.57
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
$1,368.62 / $1,959.15 / $3,818.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,596.59 / $2,847.18 / $4,372.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.49 / $2,338.42 / $3,893.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.21 / $1,768.27 / $3,688.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.52 / $2,076.71 / $3,637.72