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Vermont rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $114.82 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $316.23 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $144.54 / $436.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $158.49 / $436.52