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Georgia rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.28 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.13 / $1,071.17 / $2,003.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.47 / $4,431.64 / $10,456.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.37 / $1,259.38 / $2,434.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.58 / $1,844.97 / $2,833.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.14 / $1,514.05 / $2,511.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.98 / $1,147.86 / $2,484.67
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
$941.10 / $1,365.15 / $2,371.29