go back

New Jersey rates for HCPCS 50957

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.46 / $4,294.00 / $9,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.28 / $421.92 / $595.73
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
$359.73 / $585.24 / $1,236.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.02 / $651.09 / $800.31
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,973.98 / $9,973.98 / $23,570.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $452.59 / $735.29
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
$324.32 / $447.51 / $984.50