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Vermont rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.69 / $1,389.69 / $5,976.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.80 / $1,871.42 / $4,036.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.49 / $1,871.42 / $4,036.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.08 / $1,612.66 / $4,954.59