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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
$484.29 / $484.29 / $1,876.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.35 / $583.39 / $1,250.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.38 / $590.35 / $1,250.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.87 / $506.83 / $1,535.13