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Georgia rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.29 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.47 / $1,043.94 / $1,978.66
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
$868.38 / $1,226.30 / $2,374.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.29 / $1,473.05 / $2,487.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.59 / $1,122.67 / $2,454.19
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
$916.93 / $1,259.50 / $2,308.11