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North Carolina 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
$316.23 / $2,951.21 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,513.56 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $2,041.74 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $1,318.26 / $3,801.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $1,380.38 / $2,691.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $1,380.38 / $3,311.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $5,495.41 / $5,495.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $14,791.08 / $14,791.08