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Maryland rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.17 / $1,101.54 / $3,427.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.88 / $1,247.33 / $1,425.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.50 / $1,388.49 / $3,227.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.14 / $1,406.00 / $2,269.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.89 / $1,273.01 / $2,373.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.30 / $1,215.71 / $1,500.69