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Georgia rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.42 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.98 / $1,058.05 / $2,119.04
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
$878.18 / $1,238.24 / $2,432.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.68 / $1,823.01 / $2,799.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.65 / $1,494.90 / $2,498.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.55 / $1,134.32 / $2,628.30
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
$929.20 / $1,314.04 / $2,334.17