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New York rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.80 / $3,060.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $105.39 / $214.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,366.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.02 / $100.69 / $252.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.46 / $97.46 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.46 / $97.46 / $163.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.90 / $118.90 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $130.63 / $328.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.92 / $119.75 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $164.63 / $246.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $142.16 / $238.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $88.80 / $88.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $84.67 / $84.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.90 / $118.90 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $138.33 / $328.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,884.00 / $4,840.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $133.84 / $401.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.77 / $89.77 / $246.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $171.70 / $238.59