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Tennessee 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
$489.78 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,513.56 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $151.36 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $562.34 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $562.34 / $3,162.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $5,495.41 / $5,495.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $1,479.11 / $3,388.44