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Utah rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.39 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.96 / $1,657.12 / $2,819.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.18 / $2,002.69 / $3,215.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.93 / $1,456.60 / $1,888.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.97 / $475.55 / $3,439.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.64 / $2,423.01 / $4,010.26