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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
$1,096.48 / $3,630.78 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,220.18 / $15,488.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,862.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $2,691.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $2,398.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $2,089.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $5,248.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $2,137.96