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Maryland 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
Professional
Modifier
Low / Median / High Price
$177.83 / $954.99 / $2,818.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $549.54 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $1,318.26 / $3,235.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $2,454.71 / $3,019.95