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Vermont rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.71 / $1,511.71 / $5,798.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.21 / $1,816.44 / $3,886.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.30 / $1,817.22 / $3,886.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.24 / $1,563.80 / $4,769.87