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New Jersey rates for HCPCS 50574

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $831.76 / $1,905.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $933.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,220.18 / $17,378.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,801.89 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $562.34 / $1,230.27