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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
$575.44 / $724.44 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $2,344.23