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Oklahoma rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.32 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.32 / $1,152.32 / $1,172.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.28 / $1,384.45 / $1,639.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,473.29 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.56 / $1,303.72 / $7,540.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.24 / $1,183.81 / $1,891.94