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Pennsylvania rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,240.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.88 / $1,234.00 / $2,157.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.17 / $2,900.40 / $3,364.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.08 / $484.47 / $3,028.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.46 / $2,766.74 / $2,878.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.76 / $1,420.18 / $2,691.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,295.80 / $5,295.80 / $5,295.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $520.11 / $3,222.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.79 / $226.17 / $1,782.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.79 / $1,736.87 / $1,937.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.06 / $2,288.44 / $3,701.40