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Georgia rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.93 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.25 / $89.70 / $159.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.91 / $2,322.50 / $5,240.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $117.65 / $219.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.51 / $1,212.51 / $1,212.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.55 / $129.74 / $242.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $99.39 / $160.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.76 / $125.18 / $189.84