go back

Colorado 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
$1,202.26 / $3,981.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,659.59 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $1,258.93 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $501.19 / $3,548.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $2,630.27 / $4,168.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $1,778.28 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $1,659.59 / $3,548.13