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Georgia rates for HCPCS 50955

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.31 / $2,800.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.91 / $438.31 / $1,038.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.78 / $3,640.00 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.02 / $586.41 / $1,119.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.23 / $716.43 / $1,100.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.25 / $3,185.25 / $3,185.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.72 / $666.73 / $1,095.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.31 / $511.71 / $1,462.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.72 / $686.22 / $1,120.50