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New Jersey rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.94 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.94 / $1,549.79 / $2,665.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.29 / $2,239.53 / $4,533.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.12 / $2,436.48 / $2,949.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.53 / $1,627.49 / $2,668.92
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
$1,088.33 / $1,825.24 / $4,071.66