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North Carolina rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.82 / $1,607.81 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.33 / $1,003.82 / $1,661.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.79 / $1,920.52 / $2,558.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.47 / $1,679.55 / $2,614.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.82 / $1,331.12 / $2,520.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.12 / $1,331.12 / $2,591.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,569.90 / $2,555.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.13 / $1,404.58 / $2,984.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,597.01 / $8,093.12
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,333.36 / $7,333.36 / $8,583.98