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Rhode Island rates for HCPCS 50722

Ureterolysis for ovarian vein syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,380.38 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,548.13 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $2,041.74