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Idaho 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 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $1,659.59 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,585.78 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $2,691.53 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $354.81 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,698.24 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $1,659.59 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,621.81 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $1,548.82 / $3,162.28