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Minnesota rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.72 / $961.72 / $961.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.72 / $1,023.59 / $1,487.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.08 / $4,527.43 / $11,773.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.48 / $2,658.22 / $3,729.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.51 / $3,434.00 / $8,260.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.46 / $3,310.81 / $4,693.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.51 / $3,139.50 / $6,504.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.48 / $2,947.68 / $3,906.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.96 / $1,751.00 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.59 / $2,644.31 / $5,308.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.63 / $2,685.70 / $4,083.91