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Iowa rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.34 / $1,487.77 / $1,487.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.98 / $2,503.27 / $2,802.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.10 / $1,607.41 / $2,687.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.01 / $2,340.75 / $6,608.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.33 / $2,388.59 / $7,540.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.89 / $2,265.66 / $3,076.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.89 / $2,229.98 / $3,076.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,859.90 / $2,555.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.42 / $2,369.05 / $3,213.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.30 / $1,966.30 / $2,313.30