go back

Vermont rates for HCPCS 50955

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.24 / $591.95 / $2,254.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.33 / $580.96 / $1,519.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.19 / $706.20 / $1,519.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.58 / $696.75 / $1,865.57