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Georgia rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,238.72 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $851.14