go back

Oklahoma rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.38 / $2,062.12 / $2,097.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.64 / $313.89 / $2,442.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.99 / $871.04 / $3,217.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.06 / $2,545.44 / $13,214.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.03 / $2,145.69 / $3,291.12