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Vermont rates for HCPCS 50386

Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.83 / $851.63 / $4,034.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.88 / $683.18 / $2,777.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.83 / $1,037.23 / $2,777.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.20 / $1,157.14 / $3,409.43