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Maryland rates for HCPCS 50722

Ureterolysis for ovarian vein syndrome

Facilitymedian $661 · 10th–90th $661–$6610%50%100%$661Professionalmedian $1,148 · 10th–90th $912–$1,9500%20%10th90th$1,148$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,148.15 / $1,949.84
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,148.15 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,348.96 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,096.48 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,202.26 / $2,089.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $1,445.44