go back

Alaska rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.01 / $5,084.91 / $10,403.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.85 / $637.85 / $5,574.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.29 / $1,231.24 / $10,674.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.46 / $1,497.86 / $11,088.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.95 / $1,268.86 / $10,399.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.29 / $1,231.24 / $10,674.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.58 / $1,757.87 / $10,982.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,459.56 / $4,788.27 / $10,387.40