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Vermont rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $4,570.88