go back

New Jersey rates for HCPCS 50580

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

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
$562.34 / $645.65 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $2,041.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $16,218.10 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,445.44
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
$389.05 / $602.56 / $1,318.26