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Kentucky 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
$218.78 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,513.56 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $1,288.25 / $1,905.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $223.87 / $269.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,995.26 / $8,317.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $1,513.56 / $2,884.03