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Florida rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.50 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.99 / $987.63 / $1,252.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.66 / $1,365.69 / $2,181.10
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.33 / $763.21 / $1,342.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $872.55 / $1,340.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.68 / $1,217.79 / $2,123.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.31 / $782.31 / $782.31