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South Carolina 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
$549.54 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,412.54 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $537.03 / $3,311.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $1,412.54 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,288.25 / $2,951.21