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Washington, DC rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.54 / $1,101.54 / $1,101.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.88 / $1,247.33 / $1,359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.65 / $1,411.41 / $3,502.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.64 / $2,301.57 / $2,301.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.66 / $1,973.40 / $2,666.73