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Minnesota 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
$162.18 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $1,513.56 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $467.74 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,918.31 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,174.90 / $7,762.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,606.93 / $12,882.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $2,630.27 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,737.80 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $4,168.69 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $1,819.70 / $6,309.57