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New Jersey rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.09 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.09 / $1,054.21 / $1,655.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.19 / $1,522.85 / $3,121.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.53 / $1,514.54 / $1,802.99
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.60 / $1,074.28 / $1,983.30
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
$711.60 / $1,043.68 / $2,222.73