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Vermont rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, 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
$763.73 / $763.73 / $2,951.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.61 / $916.25 / $1,964.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.08 / $928.85 / $1,964.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.39 / $840.39 / $2,411.42