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Missouri 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
$1,000.00 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,513.56 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $851.14 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $1,698.24 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $457.09 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $758.58 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $1,621.81 / $3,311.31