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New Jersey rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.80 / $4,025.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.30 / $89.03 / $134.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.05 / $61.05 / $73.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $116.47 / $227.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.19 / $187.31 / $233.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $106.83 / $172.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.82 / $127.12 / $323.36