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Arizona rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.40 / $1,063.23 / $5,379.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.67 / $839.57 / $1,049.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.77 / $1,228.38 / $2,206.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.96 / $1,352.00 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.41 / $1,162.97 / $7,540.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.16 / $1,113.00 / $2,087.40