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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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.45 / $1,063.78 / $1,403.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.88 / $1,253.98 / $2,078.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,370.11 / $2,166.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.00 / $1,328.04 / $2,021.03