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Mississippi rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,758.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.80 / $2,719.69 / $2,758.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.00 / $1,903.00 / $1,903.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.29 / $1,656.39 / $2,272.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.29 / $1,441.15 / $2,500.09