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Vermont rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.27 / $921.65 / $10,403.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.70 / $2,044.09 / $6,877.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.49 / $2,989.83 / $6,877.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,482.65 / $2,742.50 / $8,440.83