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Missouri rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.33 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.22 / $1,173.22 / $1,198.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.79 / $1,229.65 / $1,979.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.39 / $1,532.40 / $2,628.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.72 / $1,713.29 / $6,890.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.46 / $1,878.29 / $7,540.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.67 / $1,488.51 / $2,771.60