go back

Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,258.93 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,318.26 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $691.83 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $549.54 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $1,412.54 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,412.54 / $2,884.03