go back

Michigan 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
$2,041.74 / $2,238.72 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,412.54 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $263.03 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $263.03 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $549.54 / $2,754.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,819.70 / $2,511.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $549.54 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $1,479.11 / $2,691.53