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Ohio 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
$319.36 / $2,547.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.83 / $1,691.96 / $2,515.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.44 / $1,603.66 / $2,776.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.28 / $201.94 / $315.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.42 / $1,909.49 / $3,060.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.85 / $431.35 / $2,916.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.94 / $528.20 / $2,981.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.87 / $2,024.93 / $2,820.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $979.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.59 / $2,362.27 / $4,211.43