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Vermont rates for HCPCS 50431

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $177.83 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $229.09 / $660.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $251.19 / $758.58