go back

Tennessee rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,796.22 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.84 / $1,253.91 / $1,360.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,387.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.05 / $1,285.04 / $2,205.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.64 / $1,402.14 / $2,242.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,093.12 / $8,323.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,333.36 / $7,540.80 / $8,583.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.44 / $1,538.28 / $2,409.94