go back

New Jersey rates for HCPCS 50557

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $831.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $30,902.95 / $46,773.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,606.93 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $851.14