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Vermont rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.24 / $1,394.24 / $5,433.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.44 / $1,704.83 / $3,644.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.22 / $1,704.83 / $3,644.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.62 / $1,465.13 / $4,473.18