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Oregon 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
$354.81 / $4,073.80 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $891.25 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,621.81 / $5,370.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,778.28 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,862.09 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $1,905.46 / $4,570.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,467.37 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,819.70 / $4,168.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $478.63 / $4,677.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $1,584.89 / $4,786.30