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New Jersey rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.63 / $6,986.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.49 / $951.62 / $1,504.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.24 / $1,345.35 / $2,835.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.61 / $1,375.46 / $1,637.76
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.64 / $940.36 / $1,752.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.76 / $948.59 / $2,019.91