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Georgia rates for HCPCS 50557

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,265.80 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $588.84 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,168.69 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $912.01