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Vermont rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.19 / $1,194.19 / $4,695.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.36 / $1,474.00 / $3,151.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.46 / $1,474.00 / $3,151.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.35 / $1,265.86 / $3,867.75