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South Carolina rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.57 / $2,769.20 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.82 / $1,252.57 / $1,606.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.07 / $1,360.00 / $2,391.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.52 / $1,431.59 / $2,626.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.82 / $1,350.20 / $2,219.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $837.00 / $1,509.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.04 / $1,393.48 / $2,495.11