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Vermont rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,412.54 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $4,073.80