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Wyoming 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
Professional
Modifier
Low / Median / High Price
$162.18 / $1,584.89 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $2,187.76 / $5,888.44