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Massachusetts 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)

Facilitymedian $1,905 · 10th–90th $195–$3,7150%10%10th90th$1,905Professionalmedian $1,413 · 10th–90th $182–$4,0740%10%10th90th$1,413$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,412.54 / $3,235.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,023.29 / $4,168.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,479.11 / $5,248.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $1,000.00 / $5,248.07
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $194.98 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,041.74 / $3,090.30
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $1,202.26 / $4,466.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,023.29 / $4,168.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,479.11 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $1,230.27 / $4,677.35