go back

Louisiana rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.80 / $1,638.63 / $1,753.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,159.81 / $5,398.06 / $7,587.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.51 / $1,448.76 / $1,833.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.48 / $1,346.03 / $1,801.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.76 / $1,285.34 / $2,186.17