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Alabama rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.84 / $1,952.52 / $1,952.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.24 / $1,388.00 / $1,637.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.26 / $1,217.57 / $3,142.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.14 / $1,022.38 / $1,639.51