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Louisiana 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
$501.19 / $1,318.26 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,174.90 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $4,365.16 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $2,754.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $549.54 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,445.44 / $2,951.21