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Washington, DC rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,157.82 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.61 / $182.61 / $2,157.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.57 / $195.97 / $596.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.78 / $570.91 / $5,685.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.93 / $4,294.35 / $4,294.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.37 / $3,049.68 / $4,975.71