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New Jersey 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
$2,754.23 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,412.54 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $616.60 / $4,677.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $2,137.96 / $3,388.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $1,778.28 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $1,096.48 / $3,467.37