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Vermont rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.30 / $1,527.30 / $6,309.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.26 / $1,974.32 / $4,257.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.79 / $1,974.32 / $4,257.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.87 / $1,702.92 / $5,225.31