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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $660.69 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $912.01 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $416.87 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $1,445.44 / $3,090.30