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Maryland rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.61 / $1,825.33 / $2,222.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.57 / $195.97 / $260.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.71 / $555.17 / $4,341.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.29 / $2,421.38 / $4,294.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.31 / $2,386.10 / $4,143.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.69 / $2,112.88 / $2,601.00