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Georgia rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.99 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.35 / $630.17 / $1,156.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,080.80 / $3,851.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.67 / $764.69 / $1,477.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.12 / $1,080.99 / $1,660.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.08 / $399.08 / $399.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.01 / $889.94 / $1,484.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.95 / $668.14 / $1,434.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $2,360.00 / $4,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.16 / $795.13 / $1,373.30