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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
$486.72 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $1,655.80 / $2,560.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $150.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.75 / $1,307.25 / $3,562.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.01 / $560.91 / $3,224.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,217.68 / $3,217.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,533.68 / $12,622.24 / $14,896.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.35 / $2,459.23 / $4,000.22