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New Jersey rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.97 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.97 / $1,016.28 / $1,599.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.67 / $1,436.98 / $3,015.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.39 / $1,464.63 / $1,743.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.05 / $1,038.33 / $1,916.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.53 / $1,047.36 / $2,156.48