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Vermont rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.29 / $72.18 / $217.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.95 / $316.95 / $467.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $136.38 / $432.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $147.32 / $292.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.22 / $275.38 / $574.20