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Vermont rates for HCPCS 50574

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.03 / $766.03 / $2,959.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.61 / $918.54 / $1,969.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.15 / $931.18 / $1,969.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.03 / $800.92 / $2,417.54