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Georgia rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.95 / $1,515.38 / $2,773.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $1,457.40 / $3,663.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.01 / $366.71 / $563.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.32 / $612.34 / $4,308.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.59 / $1,875.81 / $5,849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.59 / $2,564.34 / $4,116.85