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Delaware rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.17 / $1,048.23 / $1,048.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.57 / $1,303.50 / $1,815.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.85 / $1,194.27 / $2,356.11