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Oklahoma 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
$758.58 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,659.59 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $812.83 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $831.76 / $2,398.83