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Vermont rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.58 / $1,356.58 / $5,167.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.13 / $1,623.25 / $3,468.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.53 / $1,623.25 / $3,468.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.17 / $1,393.17 / $4,256.60