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New Jersey rates for HCPCS 52300

Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.96 / $5,009.00 / $9,842.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.00 / $3,438.00 / $3,438.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,587.62 / $7,684.77 / $9,533.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00