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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

Facilitymedian $5,495 · 10th–90th $2,754$10,9650%10%20%10th90th$5,495Professionalmedian $437 · 10th–90th $331$1,0230%10%10th90th$437$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $524.81 / $831.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $16,218.10 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $489.78 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $416.87 / $831.76