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North Dakota 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 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,584.89 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $562.34 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $537.03 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,548.13 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,412.54 / $4,073.80