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North Dakota rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.59 / $1,023.59 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.72 / $1,023.59 / $1,063.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.27 / $2,158.17 / $2,587.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.85 / $2,350.96 / $3,035.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.59 / $1,399.01 / $3,070.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.19 / $1,961.82 / $2,644.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.25 / $2,089.54 / $2,644.31