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Rhode Island rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.02 / $357.33 / $2,326.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.16 / $846.31 / $2,212.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.05 / $413.69 / $3,928.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.48 / $2,722.97 / $4,239.30