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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
$559.76 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.92 / $423.44 / $749.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.14 / $2,795.56 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $507.06 / $956.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.17 / $727.67 / $1,117.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.96 / $2,090.96 / $2,090.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.42 / $580.76 / $999.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.35 / $450.26 / $762.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $2,360.00 / $4,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.69 / $536.51 / $851.67