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Vermont rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.28 / $1,509.28 / $5,795.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.95 / $1,815.30 / $3,884.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.81 / $1,816.64 / $3,884.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.43 / $1,562.78 / $4,768.34