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Ohio rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.17 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.73 / $1,024.17 / $2,044.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.67 / $1,099.14 / $1,963.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.40 / $1,159.68 / $1,435.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.04 / $1,063.04 / $1,077.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.80 / $1,363.70 / $2,068.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.99 / $1,450.35 / $2,032.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $882.99 / $1,401.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.15 / $1,301.09 / $2,297.62