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Vermont rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.97 / $1,346.97 / $5,379.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.38 / $1,667.57 / $3,615.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.71 / $1,667.57 / $3,615.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.11 / $1,450.55 / $4,437.32