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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.83 / $182.61 / $2,023.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.98 / $370.58 / $2,923.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.25 / $2,189.19 / $4,303.18