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Connecticut 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
$2,290.87 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $676.08 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,778.28 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $645.65 / $4,677.35
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $977.24 / $4,265.80