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Kansas rates for HCPCS 50722

Ureterolysis for ovarian vein syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,348.96 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $1,698.24