go back

Georgia rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.11 / $6,726.00 / $14,497.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.60 / $809.51 / $1,789.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,839.72 / $5,023.33 / $9,365.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.14 / $920.20 / $1,794.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.29 / $1,342.07 / $2,061.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.12 / $3,613.12 / $31,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.30 / $1,114.52 / $1,849.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.42 / $836.46 / $1,671.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.92 / $940.34 / $1,506.37