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New Jersey rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.50 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.50 / $946.62 / $1,486.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.57 / $1,336.45 / $2,800.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.73 / $1,362.97 / $1,621.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.98 / $965.75 / $1,910.49
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
$642.42 / $900.82 / $1,995.83