go back

Georgia rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.70 / $2,800.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.14 / $2,795.56 / $6,315.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.47 / $664.77 / $1,020.90
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
$364.14 / $474.96 / $1,335.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,218.00 / $5,272.00