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Idaho rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.62 / $1,328.74 / $2,309.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.22 / $1,748.33 / $1,951.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.93 / $1,902.85 / $2,447.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.32 / $1,734.43 / $1,982.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,410.44 / $1,774.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.72 / $1,566.72 / $1,908.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.88 / $1,467.99 / $2,206.67