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Nebraska rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.34 / $931.34 / $5,379.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.26 / $1,529.44 / $2,039.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.80 / $2,323.64 / $3,076.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.57 / $1,629.85 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.09 / $2,352.53 / $7,540.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.00 / $2,265.66 / $3,150.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.89 / $2,229.98 / $3,076.95
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
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.99 / $2,267.27 / $2,832.59