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Georgia rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.99 / $2,987.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $152.36 / $212.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,080.80 / $3,851.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.97 / $160.16 / $302.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.43 / $134.43 / $134.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.67 / $167.00 / $333.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $168.00 / $246.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.10 / $196.13 / $363.04