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Arizona rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.21 / $1,649.83 / $2,819.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.06 / $954.60 / $1,640.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.30 / $540.02 / $3,154.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.73 / $1,416.53 / $2,849.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.64 / $2,229.16 / $6,644.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.18 / $1,950.64 / $3,658.67