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Vermont rates for HCPCS 50572

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.63 / $720.63 / $2,782.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.61 / $864.73 / $1,851.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.85 / $875.62 / $1,851.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.72 / $795.86 / $2,272.94