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New Jersey rates for HCPCS 50750

Ureterocalycostomy, anastomosis of ureter to renal calyx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.53 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.53 / $1,237.06 / $1,928.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.86 / $1,738.82 / $3,658.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.97 / $1,771.61 / $2,110.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.07 / $1,213.98 / $2,261.67
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
$849.23 / $1,221.16 / $2,607.65