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Georgia rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.66 / $3,018.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.31 / $889.73 / $1,678.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.58 / $311.58 / $604.19
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
$448.36 / $887.00 / $1,889.37
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
$419.53 / $924.77 / $2,011.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $905.23 / $1,905.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$826.48 / $826.48 / $2,026.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.86 / $557.17 / $1,468.65
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
$898.45 / $1,434.59 / $2,277.29