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Vermont rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $1,479.11