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West Virginia rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.01 / $979.01 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.95 / $1,024.17 / $1,140.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.34 / $1,214.50 / $1,323.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.19 / $1,176.19 / $1,176.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.57 / $1,165.57 / $1,165.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.56 / $1,470.23 / $6,217.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.82 / $1,194.27 / $1,820.33