go back

Wisconsin rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.69 / $2,053.57 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.72 / $1,061.45 / $3,525.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.39 / $2,729.26 / $6,905.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,590.71 / $3,027.46 / $4,883.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.92 / $3,137.30 / $4,120.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.97 / $1,376.93 / $1,962.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.69 / $2,039.80 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.42 / $2,723.35 / $6,760.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $671.63 / $2,131.09
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.69 / $1,376.93 / $1,962.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.60 / $3,075.34 / $4,071.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,323.91 / $8,323.91 / $8,323.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.08 / $4,951.55 / $7,540.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,172.97 / $5,172.97 / $5,172.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,975.74 / $5,932.24 / $5,932.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.42 / $2,993.29 / $4,879.39