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Washington 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)

Facilitymedian $3,467 · 10th–90th $324–$9,7720%10%10th90th$3,467Professionalmedian $1,318 · 10th–90th $182–$4,2660%10%10th90th$1,318$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $4,168.69 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,318.26 / $4,168.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $562.34 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $562.34 / $5,370.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $537.03 / $4,677.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $537.03 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,467.37 / $3,715.35
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,570.40 / $2,570.40
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $2,454.71 / $4,570.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $562.34 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $912.01 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $1,778.28 / $4,570.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $2,630.27