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Alaska rates for HCPCS 50705

Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,905.46 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,230.27 / $7,585.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,513.56 / $10,715.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $9,772.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,230.27 / $10,715.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $269.15 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,288.25 / $7,079.46