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New Jersey rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.68 / $4,667.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.67 / $570.55 / $891.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.60 / $822.85 / $1,682.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.83 / $804.62 / $961.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.90 / $1,622.76 / $2,880.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.51 / $550.78 / $937.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.72 / $580.87 / $1,248.08