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Arkansas 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
$537.03 / $1,071.52 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $1,659.59 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $331.13 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,445.44 / $3,019.95