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New Jersey rates for HCPCS 50955

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.48 / $4,294.00 / $9,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.06 / $419.68 / $591.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.00 / $3,438.00 / $3,438.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.83 / $591.77 / $1,223.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.54 / $645.15 / $792.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,326.97 / $12,359.29 / $21,935.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.49 / $448.13 / $728.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.77 / $455.33 / $977.62