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Connecticut rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,893.09 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.51 / $1,893.09 / $2,554.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.19 / $2,163.61 / $2,567.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.04 / $1,596.87 / $3,168.53
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.31 / $1,693.79 / $1,693.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.74 / $1,712.18 / $3,294.08