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New Jersey rates for HCPCS 50976

Ureteral endoscopy through ureterotomy, 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
$3,311.31 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $758.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $16,218.10 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,248.07 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $1,023.29