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New Jersey rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.27 / $5,982.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.51 / $311.42 / $487.11
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
$267.05 / $445.37 / $922.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.98 / $440.54 / $525.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,766.81 / $6,766.81 / $15,991.30
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.40 / $314.37 / $677.06
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
$211.43 / $316.79 / $651.59