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New Jersey rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.42 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.42 / $1,108.00 / $1,735.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.58 / $1,561.48 / $3,280.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.98 / $1,590.52 / $1,894.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.87 / $1,127.59 / $2,010.75
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
$693.41 / $1,056.39 / $2,435.19