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Utah rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,451.24 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.62 / $1,451.24 / $2,309.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.07 / $1,410.42 / $1,911.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $677.67 / $977.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.86 / $2,073.76 / $2,374.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.06 / $1,334.51 / $2,212.51