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Vermont rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.27 / $1,556.70 / $6,106.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.10 / $1,903.73 / $4,072.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.66 / $1,908.26 / $4,072.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.83 / $1,646.97 / $4,998.38