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Florida 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
$660.69 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $776.25 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $302.00 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $676.08 / $3,162.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,630.27 / $6,309.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,737.80 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,230.27 / $2,884.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $1,258.93 / $1,698.24