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Indiana 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
$194.98 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,380.38 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,288.25 / $3,090.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $177.83 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $676.08 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,290.87 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $1,380.38 / $2,951.21