go back

New Jersey rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.64 / $4,606.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.51 / $384.23 / $600.69
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
$330.23 / $561.03 / $1,137.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.88 / $542.91 / $648.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $7,684.77 / $18,183.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.86 / $388.76 / $701.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.69 / $374.43 / $805.75