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Georgia rates for HCPCS 50951

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.94 / $2,987.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.91 / $2,322.50 / $5,240.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.04 / $623.49 / $957.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.96 / $2,090.96 / $2,090.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.60 / $447.01 / $708.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $2,360.00 / $4,066.00