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Georgia rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.58 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.70 / $343.23 / $638.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.89 / $2,987.00 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.54 / $425.43 / $788.28
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
$334.03 / $484.41 / $809.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.68 / $364.88 / $792.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.26 / $433.49 / $465.93
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
$301.10 / $436.34 / $681.74