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New Jersey rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.80 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.80 / $1,304.55 / $2,074.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.35 / $1,839.71 / $3,927.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.23 / $1,900.31 / $2,297.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.76 / $1,308.58 / $2,156.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.00 / $4,731.00 / $9,513.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.96 / $1,283.85 / $2,767.56