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Wyoming rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.28 / $1,029.28 / $1,029.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.00 / $2,407.00 / $3,008.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.99 / $1,708.43 / $2,460.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.15 / $3,116.30 / $4,106.52