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Vermont rates for HCPCS 50290

Excision Perinephric Cyst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.02 / $1,222.02 / $4,729.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.84 / $1,487.32 / $3,178.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.75 / $1,487.32 / $3,178.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.89 / $1,342.08 / $3,901.19