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Vermont rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.87 / $1,530.87 / $6,032.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.40 / $1,889.72 / $4,042.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.47 / $1,891.93 / $4,042.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.66 / $1,649.61 / $4,961.66