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New Jersey rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $3,801.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $2,089.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,715.35 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $2,454.71