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New Jersey rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.71 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.71 / $1,106.14 / $1,768.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.38 / $1,563.00 / $3,287.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.93 / $1,573.64 / $1,884.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.63 / $1,124.76 / $2,234.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.78 / $1,062.67 / $2,334.00