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Louisiana rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.78 / $1,425.81 / $2,867.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,841.48 / $8,685.73 / $11,995.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.86 / $402.37 / $2,771.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.11 / $553.98 / $2,763.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.51 / $2,236.06 / $3,575.06