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Arkansas rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.16 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.63 / $1,359.60 / $1,435.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.88 / $1,352.48 / $1,352.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.00 / $1,616.55 / $1,915.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.19 / $1,112.78 / $1,965.24