go back

California 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)

Facilitymedian $5,888 · 10th–90th $2,089–$13,8040%5%10%10th90th$5,888Professionalmedian $1,698 · 10th–90th $182–$5,2480%5%10th90th$1,698$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,513.56 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $3,311.31 / $6,606.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $100.00 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $1,288.25 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $851.14 / $4,168.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $1,584.89 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $1,698.24 / $3,630.78
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $5,495.41
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,791.08 / $14,791.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $1,819.70 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $588.84 / $3,981.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $6,456.54
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $2,041.74 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,584.89 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $1,412.54 / $3,890.45