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Vermont rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $100.60 / $139.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.02 / $194.53 / $435.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.93 / $159.28 / $246.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.93 / $155.41 / $267.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.68 / $154.53 / $535.01