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Vermont rates for HCPCS 50557

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.09 / $571.65 / $2,218.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.01 / $570.10 / $1,495.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.51 / $696.54 / $1,495.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.48 / $663.63 / $1,835.10