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Idaho rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.96 / $1,649.83 / $4,270.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.69 / $355.95 / $3,405.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.96 / $576.60 / $4,483.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.20 / $349.85 / $3,415.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,722.18 / $3,033.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.45 / $332.65 / $3,432.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.49 / $2,432.25 / $3,999.69