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Oregon rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.37 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.23 / $1,328.74 / $5,379.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.44 / $2,223.67 / $3,012.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.84 / $2,307.44 / $2,597.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.74 / $2,072.17 / $2,895.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.14 / $1,819.80 / $3,250.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.64 / $1,940.77 / $2,052.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.74 / $2,214.35 / $2,856.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.96 / $2,407.19 / $3,013.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,210.01 / $5,210.01 / $5,210.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.62 / $2,513.19 / $3,213.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.46 / $2,433.31 / $3,372.60