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New Jersey rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, 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
$3,311.31 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,862.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $912.01
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $29,512.09 / $46,773.51
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
$2,570.40 / $5,248.07 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $562.34 / $1,230.27