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Vermont rates for HCPCS 50570

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $2,041.74