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Georgia rates for HCPCS 50961

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.12 / $2,800.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.78 / $3,640.00 / $8,545.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.47 / $640.70 / $983.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.25 / $3,185.25 / $3,185.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.90 / $457.70 / $1,674.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00