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Massachusetts rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.45 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.17 / $1,246.67 / $2,554.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,501.32 / $6,597.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.57 / $2,022.28 / $7,333.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.44 / $2,080.32 / $3,770.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,600.41 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.48 / $1,147.83 / $1,850.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.01 / $2,487.92 / $3,158.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.73 / $2,133.88 / $7,333.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.16 / $1,744.17 / $3,490.69