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Virginia rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.59 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.63 / $1,140.59 / $1,263.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,604.05 / $10,127.70 / $14,105.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.34 / $1,203.76 / $1,650.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.88 / $1,397.01 / $2,432.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.49 / $1,347.98 / $2,562.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.47 / $1,156.16 / $1,425.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.54 / $1,397.88 / $2,010.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.00 / $1,456.00 / $2,378.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.08 / $1,356.28 / $2,470.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.08 / $1,356.28 / $2,470.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.95 / $1,389.58 / $2,265.61