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Washington, DC 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
$1,412.54 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $660.69 / $2,238.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $338.84 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $575.44 / $5,623.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $549.54 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $478.63 / $4,168.69