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New Jersey rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.83 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.83 / $1,210.88 / $1,853.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.17 / $1,704.55 / $3,498.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.70 / $1,693.02 / $2,016.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.67 / $1,201.03 / $2,116.88
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
$793.86 / $1,235.48 / $2,513.91